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目的:分析腹腔镜结直肠癌根治手术与传统开腹术治疗结直肠癌的临床效果,探讨腹腔镜手术的特点及优势,为临床外科手术提供参考。方法:选择2009年7月至2013年5月在我院进行腹腔镜手术的186例结直肠癌患者的临床资料进行分析,并与择期接受开腹手术的181例结直肠癌患者的临床效果进行对比。比较两组患者的平均手术时间、平均术中出血量、术后肛门排气时间、下床活动时间、平均住院时间及并发症的发生率等。结果:与传统手术组相比,腹腔镜组患者的平均手术时间短、平均术中出血量少、术后肛门排气时间早、平均住院时间短,差异显著且具有统计学意义(P<0.05);腹腔镜组患者术后出现下肢静脉血栓1例、皮下气肿9例、高碳酸血症8例,并发症的发生率为7.14%;传统手术组术后出现切口感染10例、消化道出血13例,吻合口漏11例、并发症的发生率为12.90%。腹腔镜根治术患者术后并发症的发生率明显低于传统开腹手术组,差异具有统计学意义(P<0.05);腹腔镜组患者的平均住院时间为(8.34±2.12)天,明显短于传统开腹手术组的(11.58±1.98)天,差异具有统计学意义(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 analyze the clinical effect of laparoscopic radical resection of colorectal cancer and traditional open surgery in treating colorectal cancer, to explore the characteristics and advantages of laparoscopic surgery and to provide reference for clinical surgery. METHODS: Clinical data of 186 patients with colorectal cancer undergoing laparoscopic surgery in our hospital from July 2009 to May 2013 were analyzed and compared with 181 patients with colorectal cancer who underwent open surgery Compared. The average operation time, mean blood loss, postoperative anal exhaust time, ambulation time, average length of hospital stay and complications were compared between the two groups. Results: Compared with the conventional surgery group, the average operation time, average blood loss, early anal exhaust time and average length of stay in laparoscopic group were significantly different (P <0.05) ); 1 case of lower extremity venous thrombosis, 9 cases of subcutaneous emphysema, 8 cases of hypercapnia, the incidence of complications was 7.14% in the laparoscopic group; 10 cases incision infection in the traditional surgery group, gastrointestinal tract Bleeding in 13 cases, anastomotic leakage in 11 cases, the incidence of complications was 12.90%. The incidence of postoperative complications in patients undergoing laparoscopic radical mastectomy was significantly lower than that in the conventional laparotomy group (P <0.05). The mean length of stay in laparoscopic patients was (8.34 ± 2.12) days, significantly shorter In the traditional open surgery group (11.58 ± 1.98) days, the difference was statistically significant (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.