Clinical comparison and analysis of laparoscopic and open operation for colorectal neoplasms
10.3760/cma.j.issn.1006-9801.2009.08.015
- VernacularTitle:结、直肠癌腹腔镜手术与开放手术的临床对比分析
- Author:
Zuo FU
;
Xiaobo LIANG
- Publication Type:Journal Article
- Keywords:
Coloreetal neoplasms;
Laparoseopes;
Surgical procedures operative;
Treatment outcome
- From:
Cancer Research and Clinic
2009;21(8):476-478
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and short-term outcome of laparoscopic operation for colorectal neoplasm in comparison with open operation procedure for colorectal neoplasm, laparoscopic operation for colorectal neoplasm may be critical in the evolving practice of medieine. Methods 234 cases of colorectal neoplasm were divided into two groups and was analyzed. 103 patients with colorectal neoplasm underwent laparoscopic operation (LCS), while 131 cases received open operation (OCS). Results The mean operating time in laparoscopic operation group was significantly longer than in open operation group (P <0.05). The blood loss was less. Time to pass flatus, time to ambulate and return of bowel function were restored earlier in laparoscopic operation group than that in open operation group (P <0.05). Duration of hospital stay were longer in open operation group than that in laparoscopic operation group (P <0.05). There was not significant difference in the length, distal margin, size of tumors and number of removed lymphatic nodes(P > 0.05) between the two groups. Laparoscopic colorectal resection is better in pathologic sample compared with the traditional open operation procedure. Conclusion Laparoscopic colorectal resection is secure and effective for colorectal neoplasm, and it is with lower blood loss during operation,earlier return of bowel function and shorter hospitalization, and provide better short-term outcome compared with the traditional open procedure.
