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目的探讨腹腔镜下结肠癌切除术治疗高危结肠癌的临床效果。方法随机抽取2012年12月至2016年3月期间于阜新矿业集团总医院接受治疗的高危结肠癌患者76例为研究对象,根据患者手术方式分为两组,其中38例患者接受腹腔镜下结肠癌切除术,将其设为观察组,38例患者接受开放性结肠癌切除术,设为对照组,比较两组患者术中及术后情况。结果观察组患者的手术时间、术后禁食时间、引流管留置时间、下床活动时间较对照组明显缩短,术中出血量显著减少,差异均有统计学意义(均P<0.05)。两组住院时间、淋巴结清扫个数相比,差异无统计学意义(P>0.05);观察组患者的术后并发症发生率为7.9%,对照组术后并发症发生率为18.4%;两组比较差异有统计学意义(P<0.05)。结论腹腔镜下结肠癌切除术治疗高危结肠癌患者效果显著,安全性高。
Objective To investigate the clinical effect of laparoscopic resection of colon cancer in high-risk colon cancer. Methods A total of 76 high-risk colon cancer patients treated in Fuxin Mining General Hospital between December 2012 and March 2016 were randomly divided into two groups. Among them, 38 patients underwent laparoscopic colon Cancer resection was performed as observation group. Thirty-eight patients underwent open colon cancer resection. The patients were divided into control group and intraoperative and postoperative conditions. Results The operation time, postoperative fasting time, drainage tube indwelling time and ambulation time were significantly shorter in the observation group than those in the control group. The blood loss in the observation group was significantly decreased (all P <0.05). There were no significant differences in the length of hospitalization and lymph node dissection between the two groups (P> 0.05). The incidence of postoperative complications in the observation group was 7.9% and that in the control group was 18.4% The difference was statistically significant (P <0.05). Conclusion Laparoscopic resection of colorectal cancer in patients with high-risk colon cancer is effective and safe.