腹腔镜治疗结直肠癌的效果及对术后恢复的影响

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Abstract Objective To explore the clinical effect of laparoscopic and laparotomy in the treatment of colorectal cancer and influence on incidence rate of postoperative intestinal obstruction.Methods From February 2013 to February 2016,90 patients with colorectal cancer in our hospital were divided into experimental group（60 cases）and control group（30 cases）according to the patients′willingness.Patients in the experimental group were treated by laparoscopic, patients in the control group were treated by laparotomy.Intraoperative conditions(operation time,intraoperative blood loss, length of incision),postoperative pain score and feel good rate and postoperative conditions(anal exhaust time,ambulation time,discharge time,intestinal obstruction incidence rate,total complication rate,recurrence and metastasis rate)between two groups were compared.Results Intraoperative blood loss and length of incision in the experimental group was significantly less than that in the control group(P＜0.05),operation time was slightly longer than that in the control group,and the difference was statistically significant(P＜0.05).Postoperative pain score in the experimental group was significantly lower than that in the control group(P＜0.05),feel good rate was significantly higher than that in the control group,and the difference was statistically significant(P＜0.05).Postoperative anal exhaust time,ambulation time,discharge time in the experimental group was significantly shorter than that in the control group(P＜0.05),and intestinal obstruction incidence rate,total complication incidence,recurrence and metastasis rate was less than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Laparoscopic in the treatment of colorectal cancer has less blood loss,smaller cut,shorter anal exhaust time,ambulation time and discharge time,lower intestinal obstruction incidence rate, total complication rate,recurrence and metastasis rate,and better clinical effect,witch is worth of promoting.

Key words： Laparoscope Colorectal cancer Intestinal obstruction

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	Articles by authors
	HE Zhi-gang
	HE Yong-zhong
	KONG Fan-dong
	DU Han-peng
	WU Ming-jian

Cite this article:

HE Zhi-gang,HE Yong-zhong,KONG Fan-dong, et al. Effect and its postoperative recovery influence of laparoscopic in the treatment of colorectal cancer[J]. 中国当代医药, 2017, 24(3): 58-60.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I3/58

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