摘要
目的分析对比腹腔镜手术与开腹手术治疗结肠癌患者术后3年的生存情况,为结肠癌的腹腔镜治疗提供数据支持。方法对笔者所在科室经腹腔镜治疗的217例患者和开腹手术治疗的193例患者进行随访,对比分析其局部复发、远处转移、穿刺孔和手术切口种植转移以及生存率情况。结果腹腔镜手术组患者术后3年的无病生存率为86.2%(187/217),总生存率为91.2%(198/217),开腹手术组的3年无病生存率为85.5%(165/193),总生存率为92.7%(179/193),2组比较差异无统计学意义(P>0.05)。2组患者的局部复发、远处转移、穿刺孔和手术切口种植转移结果差异均无统计学意义(P>0.05)。结论腹腔镜手术治疗结肠癌的局部复发、远处转移、种植转移和总生存率均与开腹手术相似,说明腹腔镜手术具有良好的安全性和根治性。
Objective The survival data of patients with colon cancer who were treated by laparoscopicassisted surgery and open surgery three years after operation were analyzed and contrasted, which provided data to support the future treatment. Methods The 217 patients who were cured by laparoscopicassisted surgery and 193 patients who were cured by open surgery were followed up, and the rates of local recurrence, metastasis, implantative, and survival were contrasted and analyzed. Results Three years after laparoscopicassisted surgery and open surgery, the diseasefree survival rate was 86. 2% （187/217） and 85.5% （165/193）, respectively, and the overall survival rate was 91.2% （198/217） and 92. 7% （179/193）, respectively, the difference between the two groups was not statistic significance （/9〉0. 05）. The differences of the rates of local recurrence, metastasis, and implantative between the two groups were not statistic signifi cance （P 〉 0. 05）. Conclusions Laparoscopicassisted surgery is similar with open surgery in the rates of local recur rence, forward metastasis, and overall survival. So laparoscopicassisted surgery is a safe and radical curative surgery.
出处
《中国普外基础与临床杂志》
CAS
2012年第6期646-648,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
结肠癌
腹腔镜手术
随访
生存率
Colon cancer
Laparoscopic-assisted surgery
Follow-up
Survival rate
