摘要
目的比较结肠癌治疗采用开腹结肠癌根治术与腹腔镜结肠癌根治术的远期疗效。方法回顾性分析笔者所在医院2003-10～2006-01收治的结肠癌患者184例的临床资料,其中采用腹腔镜结肠癌根治术(LAP)组94例,与开腹结肠癌根治术(OP)组90例,对两组临床资料进行总结分析,对比其病死率、转移复发率、并发症方面的差异。结果两组一般资料比较无统计学差异。两组手术均获成功,术后均进行随访,随访时间为7～74个月,平均43.8个月,术后各项指标比较,在Ⅰ、Ⅱ、Ⅲ期局部复发、远期转移、手术时间、切口疝、切口种植比较无统计学差异(P>0.05)。粘连性肠梗阻OP组与LAP组比较有显著性差异(P<0.05)。结论腹腔镜结肠癌手术远期疗效可达到与开放手术相当的远期生存率,在粘连性肠梗阻方面发生率低于开放手术组,可安全地用于结肠癌的治疗,并获得较好的临床效果。
Objective To investigate long-term outcomes of laparoscopic（LAP） and open surgery（OP） in the treatment of colon cancer. Methods Author retrospectively analyzed the 184 cases with colon cancer treated in her department from October. 2003 to January. 2006, who were divided into two groups. LAP group（94 cases） were given laparoscopic treatment, OP group （90 cases） were given open surgery treatment; laparoscopic colectomy and open cloectomy were compared each other in mortality rate, recurrence rate, complication. Results The two procedures were succeed in the two groups. All of the cases were followed-up which the time lasted for 7-74 monthes, average time was 43.8 monthes. There were no statistical differences in local and perspective recrudescence, operative time, incisional hernia, incision implanting of Ⅰ, Ⅱ, Ⅲ phase （P〉0.05）. There were statistical differences in adhesive ileus （P〈0.05）. Conclusion Laparoscopic colectomy has the same long-term outcomes compared with traditional open colectomy in the treatment of colon cancer, and can reduce the rate of adhesive ileus.
出处
《实用医药杂志》
2012年第7期582-583,共2页
Practical Journal of Medicine & Pharmacy
关键词
开放手术
腹腔镜
结肠癌根治术
远期疗效
Open surgery
Laparoscopic
Colon cancer radical procedure
Long-term outcomes
