The Clinical Analysis Concerning The Application Of The LAC And HALS On The Colorectal Radical Correction

Objective:By the retrospective study of the clinical cases concerning the colorectal cancer to analyze the value and the short-term clinical outcome of the LAC and HALS applied on the colorectal radical correction.Methods:Divide the colorectal cancer patients who have accepted the colorectal radical correction by LAC or HALS in our hospital from September2011to December2013into the LAC group and the HALS group according to the operative style and divide each group into non-overweighted group and overweighted group by the value of the BMI, if the value exceed25kg/m2,the case be counted into overweighted group,conversely, the case be counted into non-overweighted group, use the items of the operation time、the volume of the blood lose、the length of the cutting edge、the operative wound rate、the open-surgery transition rate、the postoperative complication、the time of intestinal function recovery、the time of cystic function recovery、the postoperative hospital stay and so on, to compare two groups.Results:1.There are remarkably statistical difference in the time of operation between LAC’s group and HALS’s group,the LAC’s group versus the HALS’s group in the operation time, is132.1±22.01min vs89.96±17.79min, P<0.001,in the non-overweighted group,is90.25±28.65min vs83.76±19.92min, p=0.0778, in the overweighted group,is134.5±21.07min vs92.26±16.82min,p<0.001, these items show that the HALS needs less operative time than LAC, especially to the patients who are overweighted.; in the volume of the blood lose, is32.06±7.301ml vs30.96±9.418ml, P>0.05;in the operative wound rate, is5.57%vs4.30%, p>0.05, and in the open-surgery transition rate, is6.90%vs5.38%, p>0.05. There are no statistical difference in the remaining items,all p>0.05.2.The follow-up visit takes2-21months,all patients are included, there was one patient who had local recurrence in the LAC group and combined with hepatic metastasis, this patient died from organs failure, there were two patients who had local recurrence in the HALS group, and begun to recover after accepting new targeted therapy.Conclusions:1.In the radical correction of the colorectal cancer,both HALS and LAC have the advantages such as less wounds、faster recovery、less post-operation complications、 safe and effective.2.1n the radical correction of the colorectal cancer,HALS is easier to be grasped than LAC,and HALS needs less operative time than LAC, especially to the patients who are overweighted.3.Both HALS and LAC have better application in the colorectal radical correction,and laparoscopic-assisted method and hand-assisted method can be both used as a auxiliary method in colorectal surgery.