| 关亚伟.腹腔镜手术与开腹手术治疗结直肠癌的疗效对比观察[J].安徽医药,2018,22(5):875-877. |
| 腹腔镜手术与开腹手术治疗结直肠癌的疗效对比观察 |
| A comparative study of laparoscopic colorectal cancer surgery and open surgery |
| 投稿时间：2016-10-10 |
| DOI： |
| 中文关键词: 腹腔镜 对照研究 结直肠癌 开腹手术 |
| 英文关键词: laparoscope control study colorectal cancer open surgery |
| 基金项目: |
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| 摘要点击次数: 1977 |
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| 中文摘要: |
| 目的 比较腹腔镜手术与开腹手术治疗结直肠癌临床效果。 方法 选取接受手术治疗的结直肠癌患者30例,将其分为观察组与对照组,各15例。对照组给予传统开腹手术方法,观察组采用腹腔镜手术治疗。比较两组患者手术时间、创面愈合时间、肛门排气时间、住院时间、术中出血量以及并发症发生率。 结果 观察组患者手术时间(173.75±4.93) min,术中出血量(110.19±20.67) mL,术后肛门排气时间(2.38±0.49) d、创面愈合时间(6.62±1.77) d、住院时间(8.34±2.15) d、并发症发生率7.14%。对照组患者手术时间(180.46±2.38) min,术中出血量(167.24±24.15) mL,肛门排气时间(3.44±0.67) d、创面愈合时间(13.85±3.48) d、住院时间(16.24±3.81) d,并发症发生率57.14%,两组差异有统计学有意义(P＜0.05)。 结论 腹腔镜结直肠手术患者手术时间及住院时间短,手术风险低,手术创伤较小,患者术后胃肠功能恢复快,操作方便,安全性较好。 |
| 英文摘要: |
| Objective To analyze and compare the clinical effect of laparoscopic colorectal cancer surgery and open surgery. Methods 30 cases of colorectal cancer were selected and assigned into observation group and control group,15 cases in each group.Patients in the control group were treated with traditional open surgery,while the patients in the observation group were treated by laparoscopic surgery.Operation time,wound healing time,anal exhaust time,hospital stay,blood loss and complication rate were compared between the two groups. Results The operation time,the amount of bleeding,postoperative anal exhaust time,wound healing time,hospitalization time of observation group were (173.75±4.93) min,(110.19±20.67) mL,(2.38±0.49) d,(6.62±1.77) d,and (8.34±2.15) d,respectively.The complication rate was 7.14%.The operation time,the amount of bleeding,anal exhaust time,wound healing time,and hospitalization time of control group were (180.46±2.38) min,(167.24±24.15) mL,(3.44±0.67) d,(13.85±3.48) d,and (16.24±3.81) d,respectively.The incidence of complications was 57.14%.The differences between the two groups were statistically significant (P<0.05). Conclusions Laparoscopic colorectal surgery patients had shorter operation time and hospital stay,lower surgical risk,less surgical trauma,faster postoperative gastrointestinal function recovery.The operation is convenient and safer. |
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