腹腔镜手术与开腹手术治疗结直肠癌的术后结局比较
Comparison of Postoperative Outcomes Between Laparoscopic and Open Surgery for Colorectal Cancer.
作者信息
Neki Kai, Eto Ken, Kosuge Makoto, Ohkuma Masahisa, Noaki Rota, Hashizume Ryosuke, Sasaki Shigemasa, Shirai Yoshihiro, Yanaga Katsuhiko
机构信息
Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan
Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
出版信息
Anticancer Res. 2017 Sep;37(9):5173-5177. doi: 10.21873/anticanres.11939.
BACKGROUND/AIM: To determine the superiority of the laparoscopic vs. open technique for colorectal cancer surgery.
PATIENTS AND METHODS
We performed a retrospective analysis of consecutive patients who underwent curative surgery by laparoscopic colectomy (LC) or open colectomy (OC) for colon cancer. The patients were classified into two groups: as LC group and OC group. We retrospectively assessed clinical characteristics, intraoperative and postoperative outcomes and long-term outcomes between the two groups by univariate analysis.
RESULTS
The LC group had significantly less intraoperative blood loss, complications, and shorter post-operative hospital stay than the OC group. The overall survival of Stage II in the LC group is significantly longer than the OC group. DFS of Stage III in the LC group was significantly longer than the OC group.
CONCLUSION
LC showed more favorable results in both short-term and long-term outcomes than OC.
背景/目的：确定腹腔镜手术与开放手术在结直肠癌手术中的优势。
患者与方法
我们对连续接受腹腔镜结肠切除术（LC）或开放结肠切除术（OC）治疗结肠癌的患者进行了回顾性分析。将患者分为两组：LC组和OC组。我们通过单因素分析回顾性评估了两组患者的临床特征、术中和术后结果以及长期结果。
结果
LC组术中出血量、并发症明显少于OC组，术后住院时间更短。LC组II期患者的总生存期明显长于OC组。LC组III期患者的无病生存期明显长于OC组。
结论
与OC相比，LC在短期和长期结果方面均显示出更有利的结果。
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