Clinical Analysis Of Laparoscopic Surgery For Colorectal Carcinoma

Colorectal cancer is a common digestive tract cancer, surgical treatment is still the core of their means of treatment. Laparoscopic treatment of colorectal malignancies is the beginning of the last century 90's new technologies.Laparoscopic surgery with small incision, the gastrointestinal tract to stimulate the small, rapid recovery of gastrointestinal function, immune function affected by the small, intraoperative and postoperative complication rate is low, postoperative pain, faster postoperative recovery, shorter length of stay in hospital , after the earlier to accept the advantages of other forms of treatment in clinical practice for many years has been gradually accepted by people outside the industry. Laparoscopic surgery for the treatment of malignant tumors still remains controversial value, such as laparoscopic surgery incision tumor after planting and can achieve radical tumor effects.Used in this study on laparoscopic surgery for colorectal cancer, postoperative stress response, postoperative recovery of gastrointestinal function, postoperative complications, such as evaluation, and the laparotomy group with the same period of comparison, laparoscopic colorectal cancer radical tumor surgery of the safety, effectiveness and feasibility.Objective: To evaluate the laparoscopic colorectal surgery the feasibility and safety. Methods: 2004-2008 In this study, our hospital, 47 cases of colorectal cancer in patients with early postoperative clinical data to do a retrospective analysis of 21 routine laparoscopic colorectal surgery, 27 routine laparotomy in the same period.The clinical data of two groups no significant difference. Into the group of standards; preoperative colonoscopy and biopsy, as confirmed by pathological examination in colorectal cancer, preoperative evaluation of radical surgery possible, and no emergency abdominal surgery, intestinal obstruction, near the organ and tumor invasion (by digital rectal examination and surgery before the abdominal color Doppler ultrasound, CT confirmed) and the history of colorectal surgery. Clinical comparative study of the use of the method, for the laparoscopic group and open group of operative time, bleeding volume, the general situation after surgery to remove a few lymph nodes (pathological), surgical complications, the recovery of gastrointestinal function, surgery before and after blood sugar, body temperature, WBC, pain visual analogue score (VAS), such as comparative analysis conducted to determine the treatment of colorectal laparoscopic surgery the feasibility and safety.Results: The laparoscopic radical operation of colorectal cancer are successfully completed, no serious complications after surgery and surgical deaths and no cases of conversion. Laparoscopic group age, sex, tumor site, tumor stage and time with the open surgery group was no significant difference (P> 0.05); bleeding in patients with laparoscopic surgery, postoperative recovery time bowel sound, exhaust time , indwelling stomach tube, after eating and after defecation significantly better than all conventional group (P <0.01); the two groups after day 1 was significantly increased blood glucose, laparoscopic group the first two days after return to preoperative levels, open group of the first three days after return to preoperative levels, and one day after the first group There was a significant difference between (P <0.01); the two groups of preoperative and postoperative changes in body temperature of 3,5 days, compared to white blood cell count were not significantly different (P> 0.05); after l-day changes in body temperature, white blood cell count, postoperative visual analogue score 1,3,5 days (VAS) measurements in both groups, there was a significant difference (P <0.01, P <0.05); laparoscopic group length of surgical resection specimens (21.77±3.50) cm, intestinal lymph nodes dissection, lymph nodes between mesangial, vascular roots of the total number of lymph nodes and lymph nodes (10.8±1.6) gold and open group (11.3±2.3) no significant difference (P> 0.05).Conclusion: 1. Laparoscopic radical operation of colorectal cancer is safe and feasible. 2. Laparoscopic radical operation of colorectal cancer with the advantages of minimally invasive surgery. 3. Laparoscopic radical operation for colorectal cancer can comply with the principle of radical oncology.