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目的分析腹腔镜肝切除治疗结直肠癌肝转移患者的临床疗效及安全性。方法采用随机平行对照法将107例结直肠癌肝转移患者,依据治疗方法分为对照组53例及观察组54例。对照组行开腹肝切除术,观察组行腹腔镜肝切除术。观察两组患者治疗后的临床疗效,术中相关指标及并发症发生率。结果观察组总有效率(73.58%)高于对照组(51.85%,P<0.05);观察组切口长度、术中出血量、住院时间低于对照组(P<0.05);观察组手术用时长于对照组(P>0.05);观察组并发症发生率(5.66%)低于对照组(22.22%,P<0.05)。结论腹腔镜肝切除术对患者的损伤小,出血量低,术后恢复快,安全性高,治疗结直肠癌肝转移患者效果确切,值得临床推广应用。
Objective To analyze the clinical efficacy and safety of laparoscopic hepatectomy in the treatment of patients with liver metastases from colorectal cancer. Methods 107 cases of colorectal cancer with liver metastasis were randomly divided into control group (53 cases) and observation group (54 cases). Control group underwent open hepatectomy, the observation group underwent laparoscopic liver resection. The clinical efficacy, the related indexes and the complication rate in the two groups were observed after treatment. Results The total effective rate (73.58%) in the observation group was significantly higher than that in the control group (51.85%, P <0.05). The incision length, blood loss and hospital stay in the observation group were lower than those in the control group (P <0.05) In the control group (P> 0.05). The complication rate in the observation group (5.66%) was lower than that in the control group (22.22%, P <0.05). Conclusions Laparoscopic liver resection is less harmful to patients, low blood loss, rapid recovery after surgery, high safety, the treatment of colorectal cancer patients with liver metastasis exact effect, worthy of clinical application.