腹腔镜结肠癌根治术的临床评估

《腹腔镜结肠癌根治术的临床评估》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。

1、腹腔镜结肠癌根治术的临床评估腹腔镜结肠癌根治术的临床评估高进1,21.武汉大学基础医学院，湖北随州441300;2.随州曾都医院普外科,湖北随州441300［摘要］目的探讨腹腔镜结肠癌根治术的临床疗效。方法选取该院收治的结肠癌患者94例,随机分为对照组和实验组两组,对照组行开腹结肠癌根治术,实验组行腹腔镜结肠癌根治术，观察两组患者的手术情况、并发症发生率及存活率。结果两组患者术中出血量、术后排气时间、住院时间比较，实验组均少于对照组，差异有统计学意义(P<0.05);淋巴结清除数、手术时间比较，差异无统计学

2、意义(P0.05),两组并发症发生率比较,实验组明显小于对照组，差异有统计学意义(P<0.05)，术后存活率t匕较差异无统计学意义(P0.05［结论腹腔镜结肠癌根治术具有创伤小、恢复快的优点，安全、有效，值得临床推广应用。关键词结肠癌；腹腔镜根治术；临床评估［中图分类号］R735.35［文献标识码］A［文章编号］1674-0742(2013)12(c)・0007-02ClinicalAssessmentofLaparoscopicRadicalResectionofColonCancerGAOJinl,2l

3、.WuhanUniversitySchoolofBasicMedicalSciences,Suizhou,HubeiProvince,441300,China;2.DepartmentofGeneralSurgery,SuizhouZengduHospital,Suizhou,HubeiProvinee,441300,China[Abstract]ObjectiveToinvestigatetheclinicalefficacyoflaparoscopicradicalresectionforpatient

4、swithcoloncancer.Methods94patientswithcoloncanceradmittedinourhospitalwererandomlydividedintocontrolgroup(n二47)andexperimentalgroup(n二47).Thecontrolgroupwastreatedwithopenresectionofcoloncancer,andtheexperimentalgroupwastreatedwithlaparoscopicradicalresect

5、ionofcoloncancer.Observationswerecarriedoutaboutthepatients'surgery,theincidenceofcomplicationsandsurvivalrateinbothgroups.Andtheclinicalefficacyoflaparoscopicradicalresectionofcoloncancerwasdiscussed.ResultsTheintraoperativebloodlossofthepatientsintheexpe

6、rimentalgroupwaslessthanthatofthepatientsinthecontrolgroupzandpostoperativeexhausttimeandaveragestaylengthwereshorterthanthoseofthepatientsinthecontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05);Therewerenostatisticaldifferencesforoperationtim

7、eandnumberoflymphnodedissectionofthepatientsinbothgroups(P>0.05).Theincideneeofpostoperativecomplicationsoftheexperimentalgroupwassignificantlylowerthanthatofthecontrolgroupzthediffereneebetweenthetwogroupswasstatisticallysignificant(P0.05).Thepostoperativ

8、esurvivalratecomparedbetweenthegroupsshowednostatisticalsignificanee(P>0.05).ConclusionLaparoscopicradicalresectionofcoloncancerhastheadvantagesofminimalinvasion,quickrecovery,safetyandeffectivenesszandwhichi