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腹腔镜手术与开腹手术治疗结肠癌的疗效比较

蒋立新

中国现代手术学杂志2012,Vol.16Issue(6):412-414,3.
中国现代手术学杂志2012,Vol.16Issue(6):412-414,3.

腹腔镜手术与开腹手术治疗结肠癌的疗效比较

The Comparison of Laparoscopic and Open Surgery in the Treatment of Colon Cancer

蒋立新1

作者信息

  • 1. 南京中医药大学江阴附属医院普外科,江阴214400
  • 折叠

摘要

Abstract

Objective To compare the laparoscopic and open surgery in the treatment of colon cancer treatment. Methods 72 cases of colorectal cancer patients were randomly divided into laparoscopic group ( 37 cases ) and laparotomy group ( 35 cases ) . The operating time, incision length, volume of intraoperative bleeding, length of postoperative hospital stay and the postoperative complications was recorded. And the anal exhaust time was used as an indicator of the recovery of gastrointestinal function. Results The average operation time of laparoscopic group was significantly increased than the laparotomy group, that was(221. 6 ±37. 2) minutes vs. (150.9 ±27.8) minutes (P<0.05). The length of incisions, the intraoperative blood loss, the length of intestinal exhaust time and the postoperative hospitalization time was better than open surgery group, that was (5.78 ±0.61) cm vs. (18.74 ±2.30) cm,(48.6 ±31.5)ml vs. (129.0±78.9) ml,(21.73 ±8.91)h vs. (67. 32 ±12. 84) h and(5. 89 ± 1. 53 )d vs. ( 12. 62 ±2. 45 )d (P <0. 05 ). The complication rate of laparoscopic group was 5. 40% (2/37) , which was significantly lower than the open group 31. 43% ( 11/35) (P < 0. 05 ) . Conclusion It is a safe and effective method of laparoscopic surgery for colon cancer with advantages of mini trauma, quick recovery, and etc.

关键词

腹腔镜检查/剖腹术/结肠肿瘤

Key words

laparoscopy/ laparotomy/ colonic neoplasms

分类

医药卫生

引用本文复制引用

蒋立新..腹腔镜手术与开腹手术治疗结肠癌的疗效比较[J].中国现代手术学杂志,2012,16(6):412-414,3.

中国现代手术学杂志

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