腹腔镜结直肠癌根治术治疗结直肠癌的临床效果分析

来源 :中国临床实用医学 | 被引量 : 0次 | 上传用户:gy19890509
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨腹腔镜结直肠癌根治术(LCS)治疗结直肠癌的临床效果。方法:选取2018年8月至2019年5月山西省肿瘤医院结直肠肛门外科收治的64例结直肠癌患者,男37例,女27例,年龄(52.71±2.68)岁,年龄范围为33~72岁,对其一般资料进行回顾性分析。根据是否采用LCS将患者分为腹腔镜组(n n=30)及传统开腹组(n n=34),比较两组患者的手术时间、术中出血量、淋巴结清除数、术后住院时间、术后胃肠功能恢复时间及术后并发症(术后吻合口瘘、肠梗阻、肺部感染、切口感染)发生率。n 结果:腹腔镜组患者手术时间[(137.21±19.11)min]、术中出血量[(141.25±8.33)ml]、术后住院时间[(5.84±1.72)d]、术后胃肠功能恢复时间[(2.31±0.69)d]均优于传统开腹组[(178.57±15.38)min、(197.55±10.41)ml、(8.46±2.37)d、(3.89±0.93)d],差异有统计学意义(n P0.05)。腹腔镜组患者并发症发生率[9.9%(3/30)]低于传统开腹组[26.4%(9/34)],差异有统计学意义(n P<0.05)。n 结论:LCS治疗效果显著,可有效降低并发症的发生率,具有较高的安全性和有效性。“,”Objective:To investigate the clinical effect of laparoscopic colorectal cancer radical surgery.Methods:From August 2018 to May 2019, a total of 64 colorectal cancer patients, 37 males and 27 females, aged(52.71±2.68)years old, ranging from 33 to 72 years old, were admitted to the Colorectal and Anorectal Surgery department of Shanxi Provincial Cancer Hospital and their general data were retrospectively analyzed.Patients were divided into the laparoscopic group(n n=30)and the traditional laparotomy group(n n=34)according to whether laparoscopic colorectal cancer radical surgery was performed.The operation time, intraoperative blood loss, lymph node clearance, postoperative hospital stay, postoperative gastrointestinal function recovery time, postoperative complications(postoperative anastomotic leakage, intestinal root resistance, pulmonary infection, incision infection)and incidence rate were compared between the two groups.n Results:The operation time[(137.21±19.11)minutes], intraoperative blood loss[(141.25±8.33)ml], postoperative hospital stay[(5.84±1.72)days], postoperative gastrointestinal function recovery time[(2.31±0.69)days] in the laparoscopic group were better than those in the traditional laparotomy group[(178.57±15.38)minutes, (197.55±10.41)ml, (8.46±2.37)days, (3.89±0.93)days], and the differences were statistically significant(n P0.05). The incidence of complications in the laparoscopic group[9.9%(3/30)] was lower than that in the traditional laparotomy group[26.4%(9/34)], the differences were statistically significant(n P<0.05).n Conclusion:Laparoscopic radical resection of colorectal cancer not only has a significant therapeutic effect, but also can effectively reduce the incidence of complications, and has high safety and effectiveness.
其他文献
会议
会议
会议
双孢蘑菇又叫洋菌 ,是我国食用菌出口量最大的品种。其高产栽培措施是 :一、日光温室规格 :日光温室采用单平砖双面中间填充隔热物墙体或土垒墙体 ,墙厚 0 8m ,温室坐北朝南
本世纪最后1次园艺界的盛大聚会,由我国首次举办的第22次世界园艺博览会──中国’99昆明世界园艺博览会于1999年5月1日在昆明市举行。这是一次由95个国家和国际组织参加的国
NOTCH1信号通路可以通过多种途径调节磷脂酰肌醇-3激酶/蛋白激酶/雷帕霉素靶蛋白(PI3K/AKT/mTOR)信号通路,两者的交互作用在多种疾病的发生发展中扮演着至关重要的角色,亦成
为了制定评价用基因修饰方法生产食品安全性的标准和程序,1988年组建了国际食品生物技术委员会(IFBC)。该委员会的任务是针对用基因修饰方法生产的三类食品(微生物性食品、
会议
在当前新冠疫情的特殊形势下,为实现“停课不停学”目标,动物免疫学课程组采用雨课堂进行了网络直播课教学.教师通过精心准备、生动讲解、有趣多样的课堂互动、课前预习和课
会议