腹腔镜结肠直肠癌根治术治疗结肠直肠癌的效果研究

陈丙学 徐素婷 孙浩杰 董树江 徐强 莫琪

【摘要】目的：对结肠直肠癌患者应用腹腔镜结肠直肠癌根治术干预，分析效果。方法：于2017年6月至2019年6月期间在我院接收的结肠直肠癌患者中抽取70例入组研究，随机数表法将其分为常规组和实验组，常规组接受开腹结直肠癌根治术的干预，实验组接受腹腔镜结直肠癌根治术的干预治疗。比较两组住院时间、切口长度、术中出血量以及并发症发生率。结果：实验组下床活动时间、住院时间、胃肠功能恢复时间均短于常规组，术中出血量少于常规组，并发症发生率低于常规组（P<0.05）。结论：应用腹腔镜根治术治疗结直肠癌，可降低并发症发生率，加速康复进程，整体治疗效果更佳。

【关键词】腹腔镜；根治术；结直肠癌；并发症；胃肠功能

[中图分类号]R735.34 [文献标识码]A [文章编号]2096-5249（2021）11-0001-02

Effect of laparoscopic radical resection for colorectal cancer

CHEN Bing-xue， XU su-ting， SUN Hao-jie， DONG Shu-jiang， XU Qiang，MO Qi*（Changzhou Second People’s Hospital， Changzhou Jiangsu 213000， China）

[Abstract] Objective： to analyze the effect of laparoscopic radical resection for colorectal cancer. Methods： From June 2017 to June 2019， 70 cases of colorectal cancer patients in our hospital were selected and randomly divided into the conventional group and the experimental group. The conventional group received the intervention of open colorectal cancer radical surgery， and the experimental group received the intervention of laparoscopic colorectal cancer radical operation. The hospitalization time， incision length， intraoperative blood loss and incidence of complications were compared between the two groups. Results： The ambulation time， hospitalization time and gastrointestinal function recovery time of the experimental group were shorter than those of the conventional group， the intraoperative blood loss was less than that of the conventional group， and the incidence of complications was lower than that of the conventional group （P < 0.05）. Conclusion： The application of laparoscopic radical surgery in the treatment of colorectal cancer can reduce the incidence of complications， accelerate the rehabilitation process， and the overall treatment effect is better.

[Key words] Laparoscopy； Radical operation； Colorectal cancer； Complications； gastrointestinal function

在所有胃腸道肿瘤中，结直肠癌是比较常见的，发病率占第三位，该病的发生与膳食结构变化、环境污染以及不良生活方式等因素均有很大的关系[1]。统计结果显示，最近几年结直肠癌患病人数呈增加趋势。目前主要通过外科手术进行治疗，传统开腹手术暴露出手术切口大、并发症发生率高、恢复进程慢等诸多缺陷，整体治疗疗效和安全性的得不到保障[2]。目前临床医学处于快速发展阶段，腹腔镜技术和器械不断更新和发展，属于微创手术技术的范畴，具有切口小、病变位置可视度高、术后恢复进程快等优势，患者对腹腔镜技术干预疾病的效果比较满意，目前是治疗结直肠癌的主要方式。……