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目的:评估腹腔镜手术治疗结直肠癌的临床疗效。方法:回顾性分析2001年3月—2004年5月实施根治性结直肠癌手术146例的临床资料,其中腹腔镜手术72例,传统开腹74例,比较两组术中出血量、手术时间、医疗费用、术后肠道功能恢复时间、术后住院时间、淋巴结清扫数目、术后并发症、近期和远期生存率等情况。结果:两组在术中出血、手术时间、术后肠道功能恢复、术后住院时间等方面差异均有统计学意义(均P<0.05)。而两组间的医疗费用、术后并发症、淋巴结清扫数目及2,5年总生存率无统计学差异(均P>0.05)。结论:腹腔镜手术在术中出血、术后肠道功能恢复时间及术后住院时间方面体现了优势。腹腔镜结直肠癌根治术安全、有效、经济、与传统开腹手术的近、远期临床效果相似。
Objective: To evaluate the clinical efficacy of laparoscopic surgery for colorectal cancer. Methods: The clinical data of 146 cases of radical colorectal cancer surgery from March 2001 to May 2004 were retrospectively analyzed. Among them, 72 cases of laparoscopic surgery and 74 cases of conventional laparotomy were performed. The intraoperative blood loss, operation time , Medical expenses, postoperative intestinal function recovery time, postoperative hospital stay, the number of lymph node dissection, postoperative complications, short-term and long-term survival rate and so on. Results: There were significant differences between the two groups in intraoperative bleeding, operation time, postoperative intestinal function recovery, postoperative hospital stay and other aspects (all P <0.05). There was no significant difference in medical costs, postoperative complications, number of lymph node dissection and overall survival between 2 and 5 years (all P> 0.05). Conclusions: Laparoscopic surgery has the advantages in intraoperative bleeding, postoperative recovery of intestinal function and postoperative hospital stay. Laparoscopic radical resection of colorectal cancer is safe, effective and economical. It has the similar clinical effects as the traditional open surgery.