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| Clinical effect of laparoscopic surgery and traditional laparotomy in colorectal cancer radical operation |
| LI Bin JIANG Yuan▲ HU Yujuan |
| Department of General Surgery, Center Hospital of Shandong Energy Zibo Mining Group, Shandong Province, Zibo 255120, China |
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Abstract Objective To discuss the clinical effect of laparoscopic surgery and traditional laparotomy in colorectal cancer radical operation. Methods Clinical data of 126 cases with colorectal cancer treated in General Surgery Department, Center Hospital of Shandong Energy Zibo Mining Group from February 2014 to March 2016 were retrospective analyzed. According to surgical treatment methods, patiens were divided into the laparoscopic surgery group and traditional laparotomy gorup, each gorup had 63 cases. The operative indicators, postoperative recovery, cancer radical index and postoperative complications were recorded in the two groups. Results The peroperative bleeding, incision length of the laparoscopic surgery group were less than those of the traditional laparotomy gorup, the operation time and rate of sphincter-saving were longer or higher than those of the traditional laparotomy group, with statistically significant differences (P < 0.05). The postoperativeanus exhaust time, hospital stay, drainage tube time, urinary catheter time, liquid diet time, leaving bed time of the laparoscopic surgery group were shorter than those of the traditional laparotomy gorup, with statistically significant differences (P < 0.05). The incdence of postoperative bleeding and infection of the laparoscopic surgery group were lower than those of the traditional laparotomy gorup, with statistically significant differences (P < 0.05). There were no statistically significant differences in lymph node cleaning number, length of specimen excision, length of tumors distal end between the two groups (P > 0.05). Conclusion Compared with traditional laparotomy, application of laparoscopic surgery in colorectal cancer radical operation has less intraoperative trauma, faster postoperative recovery and lower complication incidence rate. It is worthy of clinical application.
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