Laparoscopic versus open surgery in the treatment of colorectal cancer: a comparative study

doi:10.3877/cma.j.issn.1674-0793.2014.03.005

Abstract

Abstract:

Objective

To compare the effect of laparoscopic surgery and open operation in the treatment of colorectal cancer.

Methods

From June 2009 to January 2012, ninety-eight cases of colorectal cancer were treated, fifty-two of whom underwent laparoscopic surgery and forty-six underwent open surgery. Operation time, volume of blood loss, the total number of lymph nodes, postoperative abdominal or pelvic drainage, intraoperative or postoperative complications, the first exhaust time, and postoperative hospitalization stay were compared.

Results

There were no significant differences between laparoscopic group and open surgery group in the total number of lymph nodes, blood loss, intraoperative or postoperative complication rate. In the aspects of operative time, postoperative abdominal or pelvic drainage, the first exhaust time, postoperative hospitalization stay, the difference was statistically significant (P<0.05).

Conclusions

Laparoscopic colorectal resection is feasible, safe and effective, and has a number of advantages compared with open operation. It is suitable for further clinical application.

Key words: Colorectal cancer, Laparoscopic surgery, Open operation

Zejian Lyu, Yuchao Zhang, Zheng Su, Wei Lai, Zihao Pan, Shuang Chen. Laparoscopic versus open surgery in the treatment of colorectal cancer: a comparative study[J]. Chinese Archives of General Surgery(Electronic Edition), 2014, 08(03): 196-199.

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Figures/Tables 2

References 15

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组别	例数	男：女	年龄（岁，±s）	Duke's分期（例）				肿瘤部位（例）
组别	例数	男：女	年龄（岁，±s）	A	B	C	D	盲肠及升结肠	横结肠	降结肠	乙状结肠	直肠
腹腔镜组	52	30:22	59.33±14.07	8	24	14	6	8	2	4	12	26
开腹组	46	24:22	59.33±13.69	3	22	15	6	7	1	3	10	25
统计值	?	0.30	0.00	1.92	0.03	0.38	0.05	0.00	0.00	0.00	0.03	0.19
P值	?	0.58	1.00	0.17	0.87	0.54	0.82	0.98	1.00	1.00	0.87	0.67

组别	例数	男：女	年龄（岁，±s）	Duke's分期（例）				肿瘤部位（例）
组别	例数	男：女	年龄（岁，±s）	A	B	C	D	盲肠及升结肠	横结肠	降结肠	乙状结肠	直肠
腹腔镜组	52	30:22	59.33±14.07	8	24	14	6	8	2	4	12	26
开腹组	46	24:22	59.33±13.69	3	22	15	6	7	1	3	10	25
统计值	?	0.30	0.00	1.92	0.03	0.38	0.05	0.00	0.00	0.00	0.03	0.19
P值	?	0.58	1.00	0.17	0.87	0.54	0.82	0.98	1.00	1.00	0.87	0.67

组别	例数	手术时间（min）	术中出血量（ml）	清扫淋巴结数目（枚）	腹腔（盆腔）引流量（ml）	肛门恢复排气排便时间（h）	术后住院时间（d）	术中术后并发症发生率（%）
腹腔镜组	52	165.81±50.08	73.17±38.09	32.88±12.42	294.62±275.09	66.79±18.85	9.44±2.51	5.77
开腹组	46	124.24±46.65	79.13±40.54	33.50±18.91	182.13±190.58	85.35±41.24	11.13±3.16	15.22
统计值	?	4.25	-0.75	-0.19	2.37	-2.92	-2.90	1.46
P值	?	0.000	0.455	0.848	0.022	0.004	0.040	0.227

组别	例数	手术时间（min）	术中出血量（ml）	清扫淋巴结数目（枚）	腹腔（盆腔）引流量（ml）	肛门恢复排气排便时间（h）	术后住院时间（d）	术中术后并发症发生率（%）
腹腔镜组	52	165.81±50.08	73.17±38.09	32.88±12.42	294.62±275.09	66.79±18.85	9.44±2.51	5.77
开腹组	46	124.24±46.65	79.13±40.54	33.50±18.91	182.13±190.58	85.35±41.24	11.13±3.16	15.22
统计值	?	4.25	-0.75	-0.19	2.37	-2.92	-2.90	1.46
P值	?	0.000	0.455	0.848	0.022	0.004	0.040	0.227

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