腹腔镜结肠癌切除术的临床疗效及患者预后情况分析

赵军礼，赵健

（岐山县医院，陕西 宝鸡，722400）

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摘要：

目的 分析腹腔镜结肠癌切除术的临床疗效及患者预后情况。方法 选取我院2015年2月至2016年1月收治的60例结肠癌患者作为本次研究对象，根据不同手术方法分为A 组与B 组，各30 例。A 组予以传统开腹手术，B 组予以腹腔镜结肠 癌切除术。观察两组患者的手术指标及预后情况。结果 B 组患者的手术时间为（214.21±17.41）min，长于A 组的（187.15±16.5）min（P<0.05）。两组患者的淋巴结清扫数与预后情况比较，无显著差异（P>0.05）。B 组患者的术中出血量为（99.45±21.87）mL，肛门排气时间为（64.12±33.15）h，均优于A 组的（193.44±54.25）mL、（103.98±45.22）h（P<0.05）。B 组患者的并发症 总发生率显著低于A 组（P<0.05）。结论 腹腔镜结肠癌切除术虽手术时间较长，但术中出血量少，肛门排气时间短，患者于术 后短时间内可维持正常生活，其预后情况较好，1 年无瘤生存率较高，效果显著，值得在临床中推广使用。

关键词：结肠癌切除术；腹腔镜；预后情况；术中出血量

中图分类号：R735.35文献标志码：A文章编号：2096-1413(2017)34-0089-02

Clinical efficacy and prognosis analysis of laparoscopic colon cancer resection
ZHAO Jun-li, ZHAO Jian
(Qishan County Hospital, Baoji 722400, China)

ABSTRACT: Objective To analyze the clinical efficacy and prognosis of laparoscopic colon cancer resection. Methods Sixty patients with colon cancer in our hospital from February 2015 to January 2016 were selected as the study objects. According to different surgical methods, all the patients were divided into group A and group B, with 30 cases in each group. Group A was treated with open surgery, and group B was treated with laparoscopic colon cancer resection. The operation indexes and prognosis of the two groups were observed. Results The operation time of group B was (214.21±17.41) min, which was longer than (187.15±16.5) min of the group A (P<0.05). There was no significant differences in lymph node dissection and prognosis between the two groups (P>0.05). The blood loss in the group B was (99.45±21.87) mL and the time of anal
excretion was (64.12±33.15) h, which were respectively better than (193.44±54.25) mL and (103.98±45.22) h in the group A (P<0.05). The total incidence of complication in the group B was significantly lower than that in the group A (P<0.05). Conclusion Laparoscopic colon cancer resection has long operation time, but it has less intraoperative blood loss, shorter anal drainage time, and the patients can maintain normal life in a short time after operation. It has great prognosis, high 1-year survival rate, and significant effect, which is worthy of popularization and application in the clinical practice.
KEYWORDS: colon cancer resection; laparoscopy; prognosis; intraoperative blood loss

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