腹腔镜辅助结肠癌根治术对患者营养状态及预后的影响(1)
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[摘要] 目的 探讨腹腔镜辅助结肠癌根治术对患者营养状态及预后的影响。 方法 82例结肠癌患者随机分为对照组及腔镜组，对照组采用开放式手术治疗，腔镜组采用腹腔镜辅助结肠癌根治术，比较两组患者术中情况，术后恢复情况及远期生存及复发情况以及术后两组患者营养状态的差异。 结果 腔镜组手术时间短于对照组，术中出血量低于对照组，术后排气时间及出院时间短于对照组，两组术中清扫阳性淋巴结数目无显著差异。腔镜组术后切口并发症、肺部并发症及腹腔并发症发生率低于对照组，术后1周腔镜组患者血清ALB、PA及LC高于对照组，两组患者术后3年生存率及转移复发率无显著差异。 结论 腹腔镜结肠癌根治术能够减少患者术中损伤，改善术后营养状态，有利于患者术后康复。
[关键词] 腹腔镜；结肠癌；根治术；并发症；生存率；营养状态
[中图分类号] R735.3+5 [文献标识码] B [文章编号] 1673-9701(2011)36-31-03
Effective Evaluation of Laparoscopic-assisted Radical Resection on Prognosis and Nutritional State of Patients with Colon Carcinoma
ZHANG Junjie
Department of General Surgery，the People’s Hospital of Fuyang City in Zhejiang Province，Fuyang 311400，China
[Abstract] Objective To investigate the effect of radical resection with laparoscopic-assisted to prognosis and nutritional on colon carcinoma patients. Methods All of 82 cases of patients with colon carcinoma were selected and randomly divided into laparoscopic groups and control groups. Patients in control groups taken opened operations，patients in laparoscopic groups tabken radical resection with laparoscopic–assisted on colon carcinoma，conditions during operations and postoperative recovery，existing time and relapse rate were contrasted，and nutritional state were observed between laparoscopic groups and control groups. Results Operation time was shorter in laparoscopic groups than control groups，volume of blood during operations was lesser in laparoscopic groups than in control groups，time of evacuating and in hospital was shorter in laparoscopic groups than in control groups，number of positive lymph node were identical between laparoscopic groups and control groups，level of albumin(ALB)、prealbumin(PA)and lymphocyte count(LC)were higher in laparoscopic groups than in control groups. Incidence rate of complication in cut，bellows and abdominal cavity was lower in laparoscopic groups than in control groups，rate of relapse and survival was identical between laparoscopic groups and control groups in three years postoperations ......
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