Feasibility and safety of radical laparoscopic resection for colorectal carcinoma
10.3760/cma.j.issn.1007-5232.2012.10.011
- VernacularTitle:腹腔镜结直肠癌根治术的可行性及安全性临床研究
- Author:
Shangxin ZHANG
;
Yongxiang LI
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Laparoscopes;
Safety;
Feasibility;
Radical
- From:
Chinese Journal of Digestive Endoscopy
2012;29(10):572-576
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of radical resection of colorectal carcinoma with laparoscopy.Methods Clinical data of 48 patients who underwent laparoscopic colorectal cancer resection and 131 patients who underwent traditional radical resectin were retrospectively analyzed.Results The incision length,first flatus time,intestinal intervention times,the first meal time,urinary catheterization time,gastric tube retaining time,drainage tube lien time,analgesia time of the laparoscopic group significantly decreased compared with those of conventional surgery ( P ＜ 0.05 ).There was no significant difference in complication occurrence,postoperative hospitalization time and overall hospitalization time between the two groups( P ＞ 0.05 ).The average operation time of laparoscopic surgery is longer than that of the traditional group (P ＜ 0.05 ).There was no significant difference between 2 groups in regarding of perioperative bleeding rate,volume of intraoperative and postoperative blood transfusions,mass maximal diameter,the distance between the distal and proximal margin and the mass in colon specimens,as well as the two variables in rectum specimens,the resected lymph node number and positive lymph node number (P ＞0.05).Conclusion Laparoscopic resection for colorectal cancer,a safe and feasible technology,is of the same short-term curative effect with traditional open surgery,but the follow-up radical curative effect is yet to be confirmed.
