| 摘要: |
| ［摘要］ 目的 探讨不同术式用于治疗大肠肿瘤的临床疗效。方法 收治大肠肿瘤患者124例，根据手术方式分为悬吊式腹腔镜组42例（悬吊组）、CO2气腹腹腔镜组42例（气腹组）和开腹手术组40例（开腹组）。比较各组的手术效果。结果 三组患者均获得手术成功，无死亡病例。三组手术时间、切除肠管长度以及切除淋巴结个数差异均无统计学意义（P>0.05），但悬吊组和气腹组的术中出血量以及排气时间均较开腹组显著减少和缩短（P<0.05）。结论 悬吊式腹腔镜术、CO2气腹腹腔镜术和开腹手术治疗大肠肿瘤疗效相当，但前两种术式创伤更小，术后恢复更快，值得推广应用。 |
| 关键词: 大肠肿瘤 腹壁悬吊腹腔镜手术 气腹腹腔镜手术 开腹手术 |
| DOI：10.3969/j.issn.1674-3806.2015.01.11 |
| 分类号:R 735.3+4 |
| 基金项目: |
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| Comparative study on effect of different operation modes for the treatment of colorectal neoplasms |
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ZHAO Chang-sheng
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Department of Gastrointestinal Tumor Surgery, Anshan City Tumor Hospital, Liaoning 114000, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effect of different operation methods for the treatment of colorectal neoplasms.Methods According to the operation modes, 124 patients with colorectal neoplasms were divided into gasless laparoscopic group(suspension group, 42 cases), carbon dioxide pneumoperitoneum laparoscopic group(pneumoperitoneum group, 42 cases), and open operation(laparotomy group, 40 cases). The effects of the operations were compared.Results The three groups′ patients obtained successful operation, without dead cases. There were no significant difference in operation time, resection length and number of lymph node resection among three groups(P>0.05), but the operation bleeding and exhaust time in suspension group and pneumoperitoneum group were significantly more shortened than laparotomy group(P<0.05).Conclusion Gasless laparoscopic operation, carbon dioxide pneumoperitoneum laparoscopic operation and open operation in the treatment of colorectal neoplasms have similar effect, but the first two methods have advantages of less damage, faster postoperative recovery, and are worthy of clinical application. |
| Key words: Colorectal neoplasms Abdominal wall lifting laparoscopic operation Laparoscopic operation Laparotomy operation |
