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目的分析腹腔镜手术治疗结直肠癌的临床效果及安全性。方法将63例结直肠癌患者根据治疗适应证和家属意见分为两组,治疗组33例接受腹腔镜手术治疗,对照组30例给予开腹手术。观察两组临床疗效和不良反应。结果治疗组住院时间和出血量均少于对照组(P<0.05);两组手术时间和清扫淋巴结数量无统计学差异(P>0.05),治疗组并发症发生率少于对照组(P<0.05);术后随访12-24个月,两组局部复发率和远处转移率无统计学差异(P>0.05)。结论腹腔镜结直肠癌手术在应用技术上可行,且具有创伤小、痛苦少、恢复快等特点,值得临床应用。
Objective To analyze the clinical effect and safety of laparoscopic surgery for colorectal cancer. Methods 63 cases of colorectal cancer patients were divided into two groups according to treatment indications and family members’ opinions. The treatment group received laparoscopic surgery and the control group received laparoscopic surgery. The clinical efficacy and adverse reactions of the two groups were observed. Results The length of hospitalization and bleeding in the treatment group were less than those in the control group (P <0.05). There was no significant difference in the operation time and the number of lymph nodes between the two groups (P> 0.05). The incidence of complications in the treatment group was less than that in the control group (P < 0.05). There was no significant difference in the local recurrence rate and distant metastasis between the two groups (P> 0.05) after 12-24 months of follow-up. Conclusion Laparoscopic colorectal cancer surgery is technically feasible and has the advantages of less trauma, less pain and quick recovery, which is worthy of clinical application.