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目的探究腹腔镜辅助与传统开腹结直肠癌根治术治疗结直肠癌的疗效和安全性。方法选择2014年8月至2016年12月本院收治的结直肠癌患者60例,根据随机数字表法将所有患者分为2组,每组30例。对照组实施传统开腹结直肠癌根治术,观察组实施腹腔镜辅助结直肠癌根治术。比较2组手术各项指标、术后情况和并发症发生情况。结果对照组手术用时、术中出血量、切口长度等均高于观察组,差异有统计学意义(P<0.05);对照组术后排气时间为(4.65±2.18)d、进食时间(3.64±1.32)d、住院时间(12.27±3.54)d,观察组术后排气时间为(3.27±1.63)d、进食时间(2.21±1.25)d、住院时间(8.92±2.36)d,差异有统计学意义(P<0.05);对照组并发症发生率为33.33%(10/30),观察并发症发生率为10.00%(3/30),差异有统计学意义(P<0.05)。结论与传统开腹结直肠癌根治术相比,对结直肠癌患者实施腹腔镜辅助结直肠癌根治术效果更优,能有效优化各项手术指标,缩短治疗时间,降低并发症发生率,安全性高,值得临床应用与推广。
Objective To investigate the efficacy and safety of laparoscopic-assisted and traditional open radical resection of colorectal cancer in the treatment of colorectal cancer. Methods Sixty patients with colorectal cancer admitted to our hospital from August 2014 to December 2016 were randomly divided into two groups (n = 30 in each group) according to random number table. The control group underwent radical open radical resection of colorectal cancer and the observation group underwent laparoscopic assisted radical resection of colorectal cancer. The indexes of operation, complication and complications were compared between the two groups. Results The operation time, intraoperative blood loss and incision length in the control group were significantly higher than those in the observation group (P <0.05). In the control group, the postoperative exhaust time was (4.65 ± 2.18) d, the feeding time ± 1.32) d, hospital stay (12.27 ± 3.54) d, postoperative exhaust time (3.27 ± 1.63) d, eating time (2.21 ± 1.25) d and hospitalization time (8.92 ± 2.36) d (P <0.05). The incidence of complications in the control group was 33.33% (10/30) and the incidence of complications was 10.00% (3/30). The difference was statistically significant (P <0.05). Conclusions Compared with traditional open radical resection of colorectal cancer, laparoscopic-assisted radical resection of colorectal cancer is more effective than radical open radical resection of colorectal cancer, which can effectively optimize various surgical indicators, shorten the treatment time, reduce the incidence of complications, safety High, it is worth clinical application and promotion.