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目的研究腹腔镜与开腹结肠癌根治术患者术后并发症的差异。方法回顾性研究2004年1月至2009年12月由同一组医师连续实施的200例成功的腹腔镜结肠癌根治术(腹腔镜组)与277例开腹结肠癌根治术(开腹组)患者术后并发症的差异。结果腹腔镜手术组与开腹手术组术后并发症中肠梗阻分别为3.5%与6.5%(χ2=2.102,P>0.05);吻合口瘘分别为2.0%与3.0%(χ2=0.089,P>0.05);吻合口出血分别为5.8%与3.5%(χ2=1.064,P>0.05);肺部感染分别为7.0%与9.0%(χ2=0.635P>0.05);切口感染分别为5.5%与14.1%(χ2=9.111,P<0.05)。两组术后排气时间分别为(43.6±39.5)h与(64.2±39.0)h(P<0.05),术后住院时间分别为(9.3±2.7)h与(12.7±2.4)h(P<0.01)。结论腹腔镜组术后切口感染发生率明显低于开腹手术组,且排气时间和住院时间较开腹手术组明显缩短。
Objective To study the difference of postoperative complications between laparoscopic and open radical resection of colon cancer. Methods A retrospective study of 200 consecutive patients undergoing laparoscopic radical resection of colon cancer (laparoscopic group) and 277 patients undergoing open radical gastrectomy (open laparotomy) performed by the same team of physicians consecutively from January 2004 to December 2009 was performed. Postoperative complications. Results The postoperative complications of laparoscopic surgery group and open surgery group were 3.5% and 6.5% respectively (χ2 = 2.102, P> 0.05). Anastomotic fistula was 2.0% and 3.0% respectively (χ2 = 0.089, P > 0.05). Anastomotic bleeding was 5.8% and 3.5% respectively (χ2 = 1.064, P> 0.05). Pulmonary infections were 7.0% and 9.0% respectively (χ2 = 0.635P> 0.05) 14.1% (χ2 = 9.111, P <0.05). The postoperative exhaust time was (43.6 ± 39.5) h and (64.2 ± 39.0) h (P <0.05), and the postoperative hospital stay was (9.3 ± 2.7) and (12.7 ± 2.4) h, respectively 0.01). Conclusions The incidence of incision infection after laparoscopic surgery was significantly lower than that of laparotomy group, and the evacuation time and hospitalization time were significantly shorter than those of laparotomy group.