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目的:探讨结直肠癌以腹腔镜术和开腹术两种不同术式治疗的效果。方法:选择80例病患,随机分组,Ⅰ组50例,以腹腔镜术治疗,Ⅱ组30例,以开腹术治疗,对比两组基本手术情况、术后恢复状况、术后住院时间、肿瘤复发现象。结果:本次研究,80例病患未有1例死亡,Ⅰ组48例手术一次性成功,2例转为开腹术。两组的手术操作时间、失血量、术后恢复时间、住院时间、并发症比较,除手术时间外,Ⅰ组均少于Ⅱ组,全部为P<0.05,Ⅰ组与Ⅱ组的手术时间无显著差异,P>0.05。术后随访1年,复发率组间比较,差异不显著,P>0.05。结论:结直肠癌所用的腹腔镜术、开腹术两种主要术式进行综合比较,腹腔镜术更优,患者创伤小、术后恢复迅速、安全性高,应成为医师首选术式。
Objective: To investigate the effect of laparoscopic surgery and laparotomy in two different surgical procedures for colorectal cancer. Methods: Eighty patients were randomly divided into group Ⅰ (50 cases), laparoscopic operation (group Ⅱ) and group Ⅱ (n = 30). The patients underwent open surgery. The operative conditions, postoperative recovery, postoperative hospital stay, Tumor recurrence phenomenon. Results: In this study, none of the 80 patients died in one study. Forty-eight cases in group Ⅰ were successfully operated in one operation and two cases were switched to open surgery. The operation time, blood loss, postoperative recovery time, hospitalization time and complication of two groups were less than those of group Ⅱ except operation time, all of which were P <0.05. There was no significant difference between the two groups Significant difference, P> 0.05. After one year follow-up, the recurrence rate was not significantly different between the two groups (P> 0.05). Conclusion: The two main surgical methods of laparoscopy and laparotomy used in colorectal cancer are comprehensive comparison, laparoscopic surgery is superior, the trauma of the patient is small, the postoperative recovery is rapid and the safety is high. It is the first choice for the physician.