摘要
目的:探讨快通道外科技术在腹腔镜结直肠癌根治术中的应用价值。方法:2008年1月至2008年6月我院为52例腹腔镜结直肠癌患者行快速康复,并与同期68例开腹手术进行对比研究,统计其围手术期处理、并发症发生率及经济学指标。结果:腹腔镜组(快通道组)出血量少于开腹组(传统方法组)(P<0.05)。两组切口感染、肺部感染、尿路感染、术后腹痛差异有统计学意义(P<0.05),快通道组术后通气时间及术后自理恢复时间明显短于传统方法组。二者住院费用差异无统计学意义。结论:快通道技术用于腹腔镜结直肠癌手术安全,有利于促进患者早期康复,在临床结直肠癌腹腔镜手术中具有广阔的应用前景。
Objective：To evaluate the application value of ＂Fast-track＂ surgery in laparoscopic radical resection of colorectal carcinoma. Methods：From Jan. 2008 to Jun. 2008,120 patients undergoing elective colorectal surgery were included in this study,68 patients underwent open surgery with standard care and 52 patients underwent laparoscopy with fast-track program. Two groups were compared with perioperative treatment, complications rates and economic parameters. Results ： In laparoscopic group （fast-track group）, blood loss was less than open group （traditional group） （P 〈 0.05 ）. In the both groups, differences of wound infection, lung infection, urinary tract infection and postoperative abdominal pain were significant （ P 〈 0.05 ） , the recovery of bowel function in fast-track group was earlier than the traditional group, and the self-care recovery time was significantly shorter too. The hospitalization cost had no difference. Conclusions：Fast-track technology can be applied safely in laparoscopic operation for colorectal carcinoma. It can promote an ear- ly recovery and has broad application prospects in laparoscopic operation for colorectal carcinoma.
出处
《腹腔镜外科杂志》
2010年第1期31-33,共3页
Journal of Laparoscopic Surgery
关键词
结直肠肿瘤
腹腔镜检查
快通道外科
对比研究
Colorectal neoplasms
Laparoscopy
Fast track surgery
Comparative study
