摘要
目的探讨腹腔镜下结、直肠癌微创手术的临床疗效及对患者胃肠功能的影响。方法分析2014年7月至2015年5月期间我院收治的50例结、直肠癌患者的临床资料,根据手术方法不同,将患者分为腹腔镜组和开腹组各25例,比较两组患者的手术相关指标及术后并发症的发生情况。结果与开腹组相比,在手术时间及住院时间方面,腹腔镜组患者明显缩短(P<0.05),腹腔镜组患者淋巴结的清扫数目显著升高(P<0.05),同时,肠鸣音恢复时间、肛门排气时间及术后开始进食时间均显著降低(P<0.05)。腹腔镜组并发症发生率为12.00%(3/25),明显低于开腹组的40.00%(10/25),且差异有统计学意义(P<0.05)。结论腹腔镜下结、直肠癌微创手术临床疗效显著,能加快患者胃肠功能恢复,有效降低并发症的发生,可作为结、直肠癌治疗的首选术式。
Objective To explore the clinical curative effect of minimally invasive laparoscopic surgery for colorectal cancer and its influence on gastrointestinal function.Methods By analyzing the clinical data of 50 patients with colorectal cancer admitted into our hospital from July 2014 to May 2015.According to different surgical methods,the patients were divided into laparoscopic group and laparotomy group,25 cases in each group.The operation-related index and postoperative complications of the two groups were compared.Results Compared with the laparotomy group,the operation time and hospitalization time of the laparoscope group were significantly shortened （P〈0.05）.The dissection number of lymph nodes of this group was significantly increased （P〈0.05）.At the same time,the bowel sound recovery time,anal exhaust time and postoperative eating time were obviously shortened （P〈0.05）.The incidence of complications of the laparoscope group was 12.00% （3/25）,remarkably lower than that of the laparotomy group which was 40.00% （10/25） （P〈0.05）,with statistically significant difference（P〈0.05）.Conclusion The minimally invasive laparoscopic surgery for colorectal cancer has significant clinical effect which can accelerate the recovery of gastrointestinal function and effectively reduce the incidence of complications,so it can be recommended as the first choice for colorectal cancer radical operation.
出处
《锦州医科大学学报》
CAS
2017年第3期49-51,共3页
Journal of Jinzhou Medical University
关键词
腹腔镜
结、直肠癌
微创手术
胃肠功能
laparoscope
colorectal cancer
minimally invasive surgery
gastrointestinal function
