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目的比较手助腹腔镜与开腹手术治疗结直肠癌患者的临床资料,分析并总结手助腹腔镜技术在治疗结直肠癌中的近远期临床效果。方法选取2009年11月~2016年5月在潍坊市人民医院肛肠外科治疗的217例结直肠癌患者,根据患者手术方式分为手助腹腔镜组和开腹手术组,比较两组患者的一般情况、手术时间、术中出血量、切口长度、淋巴结清扫数目、术后肠道功能恢复时间、术后住院时间、住院费用、术后并发症及转移复发率等。结果两组在一般情况、术后并发症及转移复发率等方面差异无统计学意义(P>0.05),在手术时间、术中出血量、切口长度、术后肠道功能恢复时间、术后住院时间等方面差异有统计学意义(P<0.05)。结论手辅助腹腔镜下结直肠癌根治术较开腹手术具有创伤小、术后恢复快、住院时间短等优点,在肿瘤切除及淋巴结清扫方面效果相当,是一种安全可靠的技术。
Objective To compare the clinical data of hand-assisted laparoscopic and open surgery in patients with colorectal cancer, analyze and summarize the short- and long-term clinical efficacy of hand-assisted laparoscopy in the treatment of colorectal cancer. Methods A total of 217 patients with colorectal cancer treated by anorectal surgery in People’s Hospital of Weifang City from November 2009 to May 2016 were divided into two groups: hand-assisted laparoscopic group and laparotomy group. Condition, operation time, intraoperative blood loss, incision length, the number of lymph node dissection, postoperative intestinal function recovery time, postoperative hospital stay, hospitalization costs, postoperative complications and recurrence rate. Results There was no significant difference between the two groups in the general situation, postoperative complications and recurrence rate (P> 0.05). There was no significant difference between the two groups in operation time, intraoperative blood loss, incision length, postoperative intestinal function recovery time, Hospital stay, etc. There was significant difference (P <0.05). Conclusions Hand-assisted laparoscopic radical resection of colorectal cancer has the advantages of less trauma, faster recovery after surgery, shorter hospital stay, etc. It is a safe and reliable technique for tumor resection and lymph node dissection.