Comparative analysis of clinical efficacy between laparoscopic surgery and open surgery for colorectal cancer
腹腔镜手术与开腹手术治疗结直肠癌患者的临床疗效比较分析

摘要

目的 分析结直肠癌不同手术方式的效果。方法 以双盲法均分随机抽取2021年3月-2022年3月的40例结直肠癌患者，A组（开腹手术）和B组（腹腔镜手术），手术效果对比。结果 B组5.00%的并发症发生率、100.00%的5年生存率优于A组的30.00%、80.00%（P＜0.05）；两组手术时间、切除肿瘤直径对比（p＞0.05）；B组术中出血量、肠功能恢复时间、人均镇痛次数、切除淋巴结个数、住院时间优于A组（p＜0.05）；出院时B组生活质量评分[躯体功能（83.94±4.03）分、社会功能（83.71±3.56）分、生理功能（83.62±4.24）分、心理功能（83.34±3.59）分]高于A组（p＜0.05）。结论 结直肠癌患者使用腹腔镜手术虽然需要较长的手术时间，但是能取得更好的疗效和恢复效果，显著提升患者的生存质量。

Abstract

Objective: To analyze the effect of different surgical methods for colorectal cancer.
Methods 40 patients with colorectal cancer from March 2021 to March 2022 were randomly selected by double blind method. Group A (open surgery) and Group B (laparoscopic surgery) were compared in surgical results.
Results The complication rate of 5.00% and 5-year survival rate of 100.00% in group B were better than those of 30.00% and 80.00% in group A (P<0.05); Comparison of operation time and tumor diameter between the two groups (p>0.05); The amount of bleeding during operation, the time of intestinal function recovery, the times of analgesia per capita, the number of lymph nodes removed, and the length of hospital stay in group B were better than those in group A (p<0.05); At discharge, the scores of quality of life in group B (physical function (83.94 ± 4.03), social function (83.71 ± 3.56), physiological function (83.62 ± 4.24), and psychological function (83.34 ± 3.59) were higher than those in group A (p<0.05).
Conclusion   Laparoscopic surgery for colorectal cancer requires longer operation time, but it can achieve better curative effect and recovery effect, and significantly improve the quality of life of patients.