目的:探讨腹腔镜手术治疗结直肠癌的临床效果,比较腹腔及与传统开腹术的优势,为临床研究提供可借鉴的方法。方法:对2008年5月至2012年7月在我院接受肠癌切除术的62例患者的临床资料进行回顾性分析,根据手术方式的不同,将患者分为腹腔镜组(33例)和开腹组(29例),分别采取腹腔镜手术和传统开腹手术治疗。比较两组患者的手术时间、出血量、术后排气时间、并发症、平均住院时间及住院费用等。结果:腹腔镜组患者的手术时间、术中出血量、术后排气时间、平均住院时间均明显优于开腹组患者(P<0.05);腹腔镜组术后无并发症,开腹组11例出现并发症,差异具有统计学意义(P<0.05);两组患者的住院费用无明显差异(P>0.05)。结论:腹腔镜结直肠癌根治术具有很好的临床效果,术中出血少、术后恢复快,能够减少手术对患者机体造成的损伤,值得临床推广应用。 Objective: To investigate the clinical effect of laparoscopic surgery in the treatment of colorectal cancer, to compare the advantage of abdominal surgery and traditional laparotomy, and to provide a reference for clinical research. Methods: The clinical data of 62 patients who underwent colorectal cancer resection in our hospital from May 2008 to July 2012 were retrospectively analyzed. According to the different surgical methods, the patients were divided into laparoscopic group (33 cases) and Open group (n = 29) received laparoscopic surgery and conventional laparotomy respectively. The operation time, blood loss, postoperative exhaust time, complications, average length of hospital stay and hospitalization expenses were compared between the two groups. Results: The operation time, intraoperative blood loss, postoperative exhaust time and average length of stay in laparoscopic group were significantly better than those in open group (P <0.05). No complications were found in laparoscopic group, There were 11 cases of complications, the difference was statistically significant (P <0.05); hospitalization costs were no significant difference between the two groups (P> 0.05). Conclusions: Laparoscopic radical resection of colorectal cancer has good clinical effect, less bleeding during operation and quick recovery after operation, which can reduce the damage caused by surgery to the patient and deserve clinical application.