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目的探讨腹腔镜手术治疗大肠癌的临床价值及优越性。方法将2011年1月-2012年1月在我院外科接受治疗的52例大肠癌患者分为腹腔镜组(27例)和开腹组(25例),腹腔镜组采用腹腔镜手术治疗,开腹组采用开腹手术治疗,观察两组患者手术情况、术后恢复情况及1年生存率情况。结果两组患者手术时间、切除肠管长度及淋巴结切除数目比较无显著差异(P>0.05);腹腔镜组术中出血量及术后排气时间明显低于对照组(P<0.01);两组患者1年生存率比较无显著差异(P>0.05)。结论腹腔镜手术治疗大肠癌具有创伤小、恢复快等优点,可与开腹手术达到同样的手术效果,可作为目前治疗大肠癌的优先手术方案。
Objective To investigate the clinical value and superiority of laparoscopic surgery for colorectal cancer. Methods 52 cases of colorectal cancer treated in our hospital from January 2011 to January 2012 were divided into laparoscopic group (27 cases) and open group (25 cases). The laparoscopic group was treated by laparoscopy, The patients in laparotomy group were treated with laparotomy. The operation conditions, postoperative recovery and 1-year survival rate of the two groups were observed. Results There was no significant difference in operative time, length of resection intestine and number of lymph node resection between the two groups (P> 0.05). The amount of bleeding during operation and postoperative exhaust time in laparoscopic group were significantly lower than those in control group (P <0.01) The 1-year survival rate of patients was no significant difference (P> 0.05). Conclusion Laparoscopic surgery for the treatment of colorectal cancer with less trauma, rapid recovery, etc., and laparotomy surgery to achieve the same effect, can be used as the priority for the treatment of colorectal cancer surgery program.