结直肠癌患者行腹腔镜结直肠癌根治术治疗的效果观察

摘要/Abstract

摘要： 目的探讨腹腔镜结直肠癌根治术治疗结直肠癌的临床疗效。方法选取济宁市第一人民医院2015年3月—2020年6月收治的100例结直肠癌患者为研究对象,依据手术方案将患者分为对照组和观察组,每组50例。对照组开展开腹结直肠癌根治术,观察组开展腹腔镜结直肠癌根治术。比较两组患者的围术期指标、应激指标和并发症发生情况。结果观察组手术时间长于对照组,术后住院时间短于对照组,但差异无统计学意义（P>0.05）。观察组术后排气时间、术后进食时间均短于对照组,术中出血量少于对照组,差异有统计学意义（P<0.05）。术前两组患者白细胞计数（WBC）比较,差异无统计学意义（P>0.05）;术后2 d,观察组WBC低于对照组,差异有统计学意义（P<0.05）。观察组并发症发生率稍低于对照组,差异无统计学意义（P>0.05）。结论采用腹腔镜结直肠癌根治术治疗结直肠癌,创伤更小,术后恢复时间短,且对患者应激影响较小,未增加并发症发生风险。

关键词: 结直肠癌, 腹腔镜, 根治术, 并发症, 生存率

Abstract: Objective To investigate the clinical efficacy of laparoscopic radical resection for colorectal cancer. Methods 100 colorectal cancer patients in Jining First People's Hospital from March 2015 to June 2020 were selected as the study subjects. According to the operation plan, the patients were divided into two groups. The control group (n=50) carried out open colorectal cancer radical surgery, and the observation group (n=50) carried out laparoscopic colorectal cancer radical surgery. The perioperative indexes, stress indexes and complications of the two groups were observed and compared. Results The operation time of the observation group was longer than that of the control group, and the hospitalization time of the observation group was shorter than that of the control group, but there was no statistical difference (P>0.05). The time of exhaust and eating after the operation was shorter than that of the control group, and the amount of bleeding during the operation was less than that of the control group, with statistical significance (P<0.05). There was no significant difference in WBC between the two groups before operation (P>0.05), but the WBC in the observation group was lower than that in the control group 2 days after operation (P<0.05). The incidence of complications in the observation group was lower than that in the control group, but there was no statistical significance (P>0.05). Conclusion Laparoscopic radical resection of colorectal cancer is less traumatic, has a faster recovery, has less impact on patients' stress, and there was no increased risk of complications.

Key words: lolorectal cancer, laparoscope, radical prostatectomy, complications, survival rates

中图分类号:

R656

刘中元, 宋志超. 结直肠癌患者行腹腔镜结直肠癌根治术治疗的效果观察[J]. 中华养生保健, 2023, 41(5): 18-20.

LIU Zhong-yuan, SONG Zhi-chao. Effect of Laparoscopic Radical Resection of Colorectal Cancer in Patients with Colorectal Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(5): 18-20.

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