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目的讨论腹腔镜结直肠癌肿瘤的根治性,实施手术的必要性和成功率。方法对52例进行腹腔镜手术治疗的病例和109例具有可比性的进行开腹手术的病例进行比较。结果腹腔镜手术的患者与传统开腹手术患者相比,其肛门首次排气时间、人均止痛次数、首次进食时间、对肠道干预程度、导尿管滞留时间都显著减少,且以上数据差异具有统计学意义。腹腔镜手术患者的术后并发症发生率、住院天数也都小于开腹患者,但差异不具有统计学差异。腹腔镜手术时间要长于传统手术。结论腹腔镜结直肠癌手术作为一项成功率高、安全性强的技术,其手术效果与传统开腹手术效果相当。
Objective To discuss the cure of laparoscopic colorectal cancer and the necessity and success rate of operation. Methods Fifty-two cases of laparoscopic surgery were compared with 109 cases of comparable laparotomy. Results Compared with the patients undergoing laparotomy, the time of the first anal exhaust, the number of analgesia per person, the time of first meal, the degree of intestine intervention and the catheter retention time were significantly decreased in patients undergoing laparoscopic surgery. Statistical significance. The incidence of postoperative complications and hospital stay in patients undergoing laparoscopic surgery were also less than those in patients with laparotomy, but the difference was not statistically significant. Laparoscopic surgery longer than traditional surgery. Conclusions Laparoscopic surgery for colorectal cancer is a technique with high success rate and safety. Its operative effect is equivalent to that of conventional laparotomy.