腹腔镜与开腹结直肠癌根治术近期疗效比较分析-临床医学肿瘤学专业论文.docxVIP

万方数据 万方数据 目录 中文摘要............................................................3 英文摘要............................................................4 正文................................................................5 前言............................................................5 资料与方法......................................................6 结果...........................................................12 讨论...........................................................14 参考文献...........................................................20 致谢...............................................................22 综述...............................................................23 2 腹腔镜与开腹结直肠癌根治术近期疗效比较分析 【摘要】 目的:探讨腹腔镜下结直肠癌根治术的近期疗效。方法：收集我 院胃肠外科 2006 年 8 月至 2013 年 8 月实施的 1829 例结直肠癌根治术病例，其 中 1303 例行腹腔镜手术（腔镜组），526 例行传统开腹手术（开腹组）。回顾 性分析并对比两组患者的手术时间、术中出血量、清扫淋巴结个数、术后胃肠功 能恢复时间、术后住院时间、术后并发症、住院总费用等指标。结果：腹腔镜组 术中出血量、术后胃肠功能恢复时间、术后住院时间显著低于开腹组，差异有统 计学意义(P0.05)，但两组的手术时间、清扫淋巴结个数及住院总费用相当，无 统计学差异(P0.05)。并发症方面，两组术后肠梗阻、吻合口瘘、吻合口出血、 肺腹部感染及总并发症发生率相当，无统计学差异(P0.05)，但腹腔镜组切口并 发症发生率显著低于开腹组，差异有统计学意义(P0.05)。结论：腹腔镜下结直 肠癌根治手术创伤小、术后恢复快，具有良好的近期疗效。 【关键词】结直肠癌，腹腔镜手术，近期疗效 3 Analysis of short-term efficacy comparing Laparoscopic and open surgery for colorectal cancer 【Abstract】Objective : To investigate the short-term effect of laparoscopic resection of colorectal cancer . Methods: Retrospective reviewed 1829 clinical cases with colorectal cancer in gastrointestinal surgery of our hospital from August 2006 to August 2013 ,of which 1303 underwent laparoscopic surgery ( laparoscopy group ) , 526 routine abdominal surgery (open group ) . Comparing operative time , blood loss, number of lymph node dissection and postoperative gastrointestinal function recovery time, postoperative hospital stay, postoperative complications, hospital costs between the two groups . Results: The operative blood loss, postoperative recovery time of gastrointestinal function and postoperative hospital stay in the laparoscopic group was significantly lowe