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目的探讨腹腔镜结肠癌手术的可行性。方法选择腹腔镜结直肠癌根治术病例30例及行开腹结肠癌根治术病例49例,比较其手术时间、术中出血量、标本长度、淋巴结清除总数、胃肠功能恢复时间、术后禁食时间、镇痛药物使用例数、镇痛药物使用时间、并发症发生率及术后住院时间等指标。结果两组在年龄构成、性别构成、肿瘤所在部位、肿瘤Dukes分期之间无明显差异,两组均无手术死亡病例。腹腔镜组术中出血量明显少于开腹组,术后胃肠功能恢复时间、术后禁食时间、镇痛药使用例数及时间、住院天数显著短于开腹组,两组并发症发生率、淋巴结清除数目、标本长度差异无统计学意义。结论腹腔镜下结直肠癌根治可以达到与开腹结肠癌根治术同样的效果,且手术创伤小,恢复快。
Objective To investigate the feasibility of laparoscopic colon cancer surgery. Methods Thirty patients undergoing laparoscopic radical resection of colorectal cancer and 49 patients undergoing open radical resection of colon cancer were selected. The operative time, intraoperative blood loss, specimen length, total lymph node clearance, gastrointestinal function recovery time, Food time, the number of cases of analgesics used, the time of analgesic use, the incidence of complications and postoperative hospital stay. Results There was no significant difference between the two groups in age composition, sex composition, tumor location and tumor Dukes staging. There was no surgical death in both groups. Laparoscopic group bleeding was significantly less than the open group, postoperative gastrointestinal function recovery time, postoperative fasting time, the number and time of use of analgesics, hospitalization days was significantly shorter than the open group, two complications There was no significant difference in the incidence, the number of lymph node clearance and the length of the specimen. Conclusions Laparoscopic radical resection of colorectal cancer can achieve the same effect as open radical resection of colon cancer with less trauma and rapid recovery.