目的：对比分析腹腔镜辅助与开腹结肠癌根治术的临床疗效。方法选取72例结肠癌住院患者随机分为A、B两组，分别采用腹腔镜手术和传统开腹结肠根治术，比较两组患者手术指标、术后恢复情况及术后并发症发生率。结果 A组患者手术时间显著长于B组患者，但是术中出血量和切口长度较B组患者降低和缩短，差异具有统计学意义（ P ＜0．05），两组患者淋巴结清扫数差异无统计学意义（ P ＞0．05），A组患者术后排气时间、术后下床活动时间、术后镇痛时间、术后进食时间及住院天数较B组患者均显著缩短，但B组患者切口感染发生率和不良反应总计发生率均显著高于B组患者，差异具有统计学意义（ P ＜0．05）。结论腹腔镜辅助结肠癌根治术创伤小，术后恢复时间短，降低患者术后并发症发生率，是理想的治疗方法，值得进一步在临床上推广应用。%Objective To investigat the clinical efficacy between laparoscopic-assisted surgery and open surgery on patients with colon cancer.Methods 72 cases of colon cancer patients were selected and randomly divided into A, B groups.The patients were treated with laparoscopic-assisted surgery and traditional open respectively.The postoperative recovery and postoperative compli-cation rate were observed.Results The operative time in group A was significantly longer than that in group B, but blood loss and in-cision length were lower and shorter than those in group B, and the difference was statistically significant ( P <0.05).The number of patients with lymph node dissection was not statistically significant ( P >0.05 ) .The exhaust time, postoperative ambulation time, postoperative analgesia, eating time after surgery and hospital stay in group A were significantly reduced than those in group B patients, but the incidence of wound infection and the total incidence of adverse events in group B was significantly higher than group A patients, the difference was statistically significant ( P <0.05).Conclusion Assisted laparoscopic colon resection, the postoperative recovery time is shorter, the incidence of postoperative complications is reduced, and laparoscopic-assisted surgery is the ideal method on treatment patients with cnlon cancer and is worthy of further promotion and application in clinical practice.
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