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腹腔镜手术治疗中晚期结直肠癌对比开腹手术的临床研究

周正 杜云峰 孙劲文 宋立伟 鲁克宇 魏世东 姚力

山东医药2012,Vol.52Issue(20):4-6,9,4.
山东医药2012,Vol.52Issue(20):4-6,9,4.

腹腔镜手术治疗中晚期结直肠癌对比开腹手术的临床研究

Clinical study of laparoscopic radical operation on medium-term and terminal colorectal carcinoma

周正 1杜云峰 1孙劲文 1宋立伟 1鲁克宇 1魏世东 1姚力1

作者信息

  • 1. 煤炭总医院,北京100028
  • 折叠

摘要

Abstract

Objective To observe the possibility, safety and advantage of the Laparoscopic operation on medium-term and terminal colorectal carcinoma. Methods The patients with colon and rectal carcinoma were divided into the laparo-acopie group ( n = 57, lapa group) and open operation group (n = 56, ope group). To compare the operation safety, recovery, complications, expenditure, lymph nodes clearance and short term outcome between two groups. Results The blood loss was obviously diminution, antinociceptive drugs was obviously decrease in lapa group (P <0, 05). Time to resume early activity and hospital stay in lapa group were significantly shorter than those in ope group ( P <0.05). Clinical pathology rinding showed the same radical cure for the two groups and similar complications in the two groups (P > 0.05). We did the same therapy in lapa group for the hepatic metastasis (P >0.05). No significant difference between the two groups was observed for the local recurrence and mortality ( P > 0.05 ). Conclusion Laparoscopic radical carcinosectomy on patients with the medium-terra and terminal colorectal cancer has small wound, and recover quickly after the operation, effect a radical cure for good. Which is possible and performed safely, effectively with the advantages of minimal invasiveness.

关键词

腹腔镜/中晚期结直肠癌/手术

Key words

laparoscopic/ colorectal carcinoma/ operation

分类

医药卫生

引用本文复制引用

周正,杜云峰,孙劲文,宋立伟,鲁克宇,魏世东,姚力..腹腔镜手术治疗中晚期结直肠癌对比开腹手术的临床研究[J].山东医药,2012,52(20):4-6,9,4.

基金项目

留学回国人员科研启动基金[(2010)1561]. (2010)

山东医药

OACSTPCD

1002-266X

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