中国医药科学2015，Vol.5Issue(14)：119-122,4.
腹腔镜下结肠癌切除术应用于高危结肠癌患者治疗的价值
Clinical value of laparoscopic colectomy in the treatment of colonic cancer in high-risk patients
陈卓林 1龚时文 1王金林1
作者信息
- 1. 广东省东莞市人民医院普外科,广东东莞 523059
- 折叠
摘要
Abstract
Objective To explore the clinical effect of laparoscopic colectomy in the treatment of colonic cancer in high-risk patients.Methods 60 cases of patients with colonic cancer were divided into two groups.The LCR group(n=30) was managed laparoscopic colectomy and the OCR group(n=30) were traditional open operation.The operation condition,preoperative complications,amount of lymph node scavenged,and the relapse rate of the 2 groups were contrasted.ResultsThe operation period of LCR group with no difference compared to OCR group(P>0.05),And the hospital stays,period of passage of gas by anus,the drainage volume post 3 days of operation,the period of drainage tube extraction and the intraoperative bleeding volume of LCR group was significant less than that of OCR group (P<0.05).There was significant difference in complication and the amount of lymph nodes scavenged of patients between 2 groups(13.3% vs 43.3%,P<0.01).The amount of lymph nodes scavenged of patients in TNM Ⅱ and Ⅲ of LCR group was more than that of OCR control group.The relapse rate in LCR group (3.3%) was lower than that in OCR group(20.0%),and the survival rate in 3 years(100.0%) of LCR group with no difference compared to OCR group(93.3%)(P>0.05).Conclusion Laparoscopic colectomy can be successfully performed for high-risk colonic cancer,with all the advantages of minimally surgery.关键词
腹腔镜/结肠癌切除术/高危结肠癌Key words
Laparoscopy/Resection of colonic cancer/Colonic cancer in high-risk分类
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陈卓林,龚时文,王金林..腹腔镜下结肠癌切除术应用于高危结肠癌患者治疗的价值[J].中国医药科学,2015,5(14):119-122,4.
