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The Clinic Study of Comparison between Laparoscopic with Open Colonrectal Radical Surgery

Author: BaiJunWei
Tutor: YinJiaJun
School: Zunyi Medical College,
Course: Surgery
Keywords: Laparoscopy Colorectal Cancer Surgery Minimally invasive
CLC: R735.3
Type: Master's thesis
Year: 2011
Downloads: 39
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Abstract


Objective: This study aimed to investigate the laparoscopic surgery for colorectal cancer safety, effectiveness and feasibility. Methods: The collection and analysis of Zhongshan Hospital of Dalian University of laparoscopic surgery from May 2005 to October 2010 during laparoscopic resection of colorectal cancer in 41 patients and concomitant conventional open resection of colorectal cancer clinical data of 41 patients for control study. Preoperative CT scan and B-mode ultrasound examination found no distant metastasis, preoperative colonoscopy biopsy and pathological findings consistent with pathological findings. Two groups of patients no preoperative chemotherapy, patients were age, sex, and Dukes stage and so the difference was not statistically significant (P gt; 0.05), comparable. Observed in patients with postoperative cases, specimens, postoperative follow-up situation. Results: There were postoperative complications and no serious operative deaths in the laparoscopic group 2 patients converted to open surgery. Laparoscopic surgery operation time longer than the laparotomy group (180.73 ± 19.06) than (136.15 ± 11.82) min, the difference was statistically significant (P lt; 0.01). Laparoscopic intraoperative blood loss was significantly less than the laparotomy group [(103.59 ± 20.90) ml: (201.34 ± 28.96) ml, P lt; 0.01]. The total number of lymph nodes removed, no statistically significant difference between the two groups [(12.73 ± 0.85): (13.1 ± 1.49), P gt; 0.05]. Anterior resection of the rectum distal margin of the laparoscopic group was significantly longer than the length of the open group [(3.86 ± 0.51) cm: (3.48 ± 0.51) cm, P lt; 0.01]. Exhaust laparoscopic group was significantly older than the laparotomy group [(2.96 ± 0.57) d: (3.35 ± 0.45) d, P lt; 0.01]. Liquid diet after time: [(3.04 ± 0.37) d: (4.79 ± 0.61) d, P lt; 0.01]. Into the solid diet Time: [(3.67 ± 0.52) d: (5.72 ± 0.72) d, P lt; 0.01]. Indwelling catheter time: [(5.12 ± 0.8) d: (6.93 ± 0.86) d, P lt; 0.01]. Laparoscopic group hospital stay was significantly shorter in the open group [(10.62 ± 0.43) d: (14.54 ± 0.97) d, P lt; 0.01]. But still significantly higher than the cost of hospitalization open group [(4.01 ± 0.75) × 104 元: (3.11 ± 0.41) × 104 元, P lt; 0.05]. 3-year survival rate of the two groups, the difference was not statistically significant [87.1% (27/31) ratio 88.57% (31/35), P gt; 0.05)]. CONCLUSION: Laparoscopic technique in the application of the treatment of colorectal cancer is safe and feasible, and with less trauma, quicker recovery, less pain and so on. Is the treatment of colorectal cancer is a safe, effective, and minimally invasive surgery.

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CLC: > Medicine, health > Oncology > Gastrointestinal Cancer > Intestinal neoplasms
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