摘要
目的探讨腹腔镜结直肠癌根治术对结直肠癌患者手术时间、住院时间及术中出血量的减少作用。方法将2017年1月~2019年10月在本院接受腹腔镜结直肠癌根治术的40例结直肠癌患者(观察组)与接受开腹结直肠癌根治术的40例结直肠癌患者(对照组)纳入作为研究对象,对两组的临床资料进行回顾性分析,比较两组的手术情况、术后并发症发生率、术后恢复时间、术后疼痛评分、生存质量评分。结果两组的切缘阳性率、淋巴结清扫数量比较均无明显差异(P>0.05),但手术时间在观察组中短于对照组(P<0.05),术中出血量在观察组中少于对照组(P<0.05)。术后并发症发生率在观察组中为2.50%,低于对照组15.00%(P<0.05)。术后首次排气时间、恢复进食时间、住院时间在观察组中均短于对照组(P<0.05)。术后12 h、24 h、36 h、48 h,疼痛评分在观察组中低于对照组(P<0.05)。术后随访1个月,生存质量评分在观察组中高于对照组(P<0.05)。结论在结直肠癌治疗中,腹腔镜结直肠癌根治术与开腹结直肠癌根治术均可有效切除结直肠肿瘤,清扫淋巴结,但腹腔镜结直肠癌根治术可减少术中出血量和术后并发症,缩短手术时间、住院时间,减轻术后疼痛感,有利于提升术后生存质量。
Objective To investigate the effect of laparoscopic radical resection of colorectal cancer on the operation time,hospital stay and intraoperative blood loss in patients with colorectal cancer.Methods 40 cases of colorectal cancer patients(observation group)and 40 cases of colorectal cancer patients(control group)who received laparoscopic radical resection of colorectal cancer in our hospital from January 2017 to October 2019 were selected as the research objects.The clinical data of the two groups were retrospectively analyzed;the operation condition,incidence of postoperative complications,complications,Postoperative recovery time,postoperative pain score and quality of life score were compared between the two groups.Result There were no significant difference in the positive rate of incision margin and the number of lymph node dissection between the two groups(P>0.05),but the operation time in the observation group was shorter than that in the control group(P<0.05),and the intraoperative blood loss in the observation group was less than that in the control group(P<0.05).The incidence of postoperative complications was 2.50%in the observation group,which was lower than 15.00%in the control group(P<0.05).The time of first exhaust,recovery of food intake and hospitalization time in the observation group were shorter than those in the control group(P<0.05).At 12 h,24 h,36 h and 48 h after operation,the pain score in the observation group was lower than that in the control group(P<0.05).After operation follow-up for 1 month,the score of quality of life in the observation group was higher than that in the control group(P<0.05).Conclusion In the treatment of colorectal cancer,laparoscopic radical resection and open radical resection of colorectal cancer can effectively remove colorectal tumors and dissect lymph nodes,but laparoscopic radical resection of colorectal cancer can reduce intraoperative blood loss and postoperative complications,shorten the operation time,hospital stay,reduce postoperative pain,which is conducive to improve the quality of life after surgery.
作者
魏建龙
王国福
WEI Jianlong;WANG Guofu(The fourth division hospital of Xinjiang production and Construction Corps,Yili 835000,Xinjiang,China)
出处
《新疆医学》
2021年第7期795-797,843,共4页
Xinjiang Medical Journal
关键词
结直肠癌
结直肠癌根治术
腹腔镜
开腹手术
colorectal cancer
radical resection of colorectal cancer
Laparoscopy
open surgery
