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目的探讨应用腹腔镜手术治疗不同分期结肠癌患者的临床效果。方法选取2009年1月至2011年7月收治的左侧或右侧结肠癌患者36例,将患者随机分为两组,腹腔镜组18例采用腹腔镜手术治疗,对照组18例给予传统开腹手术治疗。比较两组患者的术后镇痛情况、术中出血量,以及术后30个月局部复发、远处转移情况。结果两组患者术后30个月的远处转移和局部复发率差异无统计学意义(P>0.05)。腹腔镜组Ⅰ/Ⅱ、Ⅲ期患者的术中出血量和术后镇痛时间均少于对照组,差异有统计学意义(P均<0.01)。结论应用腹腔镜手术治疗不同分期结肠癌患者效果良好,术后镇痛时间和术中出血量明显降低,术后远处转移率和局部复发率与传统开腹手术相似。
Objective To investigate the clinical effect of laparoscopic surgery in patients with different stages of colon cancer. Methods Thirty-six patients with left or right colon cancer who were treated from January 2009 to July 2011 were selected and randomly divided into two groups. Laparoscopic group (18 cases) was treated by laparoscopy and control group (18 cases) Abdominal surgery. Postoperative analgesia, intraoperative blood loss, and local recurrence and distant metastasis at 30 months were compared between the two groups. Results There was no significant difference in distant metastasis and local recurrence rate between the two groups at 30 months (P> 0.05). Laparoscopic group Ⅰ / Ⅱ, Ⅲ patients with intraoperative blood loss and postoperative analgesia time were less than the control group, the difference was statistically significant (P all <0.01). Conclusions Laparoscopic surgery for patients with different stages of colon cancer is effective. Postoperative analgesia time and intraoperative blood loss are significantly reduced. The distant metastasis rate and local recurrence rate after operation are similar to those of conventional laparotomy.