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目的比较腹腔镜结直肠癌根治术与开腹手术的近远期临床疗效。方法回顾性分析2007年1月至2012年12月在本院行结直肠癌根治性手术的2 337例患者的临床和随访资料。结果 2007年1月至12月,开腹手术组手术时间和术后并发症优于腹腔镜组(P<0.05);腹腔镜组失血量和切口长度优于开腹手术组(P<0.05)。2008年1月至2012年12月,腹腔镜组失血量、排气时间和切口长度优于开腹手术组(P<0.05)。两组清扫淋巴结数目、转移淋巴结数目和术后5年生存率比较差异无统计学意义(P>0.05)。结论腹腔镜结直肠癌根治术具有较好的安全性及可行性,可在有一定腹腔镜手术基础的医院开展。
Objective To compare the short-term and long-term clinical effects of laparoscopic radical mastectomy and laparotomy. Methods The clinical and follow-up data of 2 337 patients who underwent radical surgery for colorectal cancer in our hospital from January 2007 to December 2012 were retrospectively analyzed. Results The operation time and postoperative complications of laparotomy group were better than laparoscopic group (P <0.05) from January 2007 to December 2007; laparoscopic group blood loss and incision length were superior to those of laparotomy group (P <0.05) . From January 2008 to December 2012, laparoscopic group blood loss, exhaust time and incision length were better than those in open surgery group (P <0.05). There was no significant difference in the number of lymph nodes, the number of metastatic lymph nodes and the 5-year survival rate between the two groups (P> 0.05). Conclusion Laparoscopic radical resection of colorectal cancer has good safety and feasibility, can be carried out in a hospital with a certain laparoscopic surgery.