The Clinic Study Of Comparison Between Laparoscopic With Open Colonrectal Radical Surgery

ObjectiveThis research aims to explore the safety, efficacy and feasibility of laparoscopic colonrectal radical surgery.MethodsIn this research, the author collects and analyzes clinical statistics that was done in Laparoscopic ward in Affiliated Zhongshan Hospital of Dalian University from May,2005 to October,2010 and then compares 41 patients operated by means of laparoscopic colonrectal radical surgery with 41 patients operated by traditional colonrectal radical surgery. Matastasis is not seen in CT scan and ultrasonography before operation. The result of pathological examination in biopsy of fibercoloscope before operation is consistent with the result after operation. Both the two group patients are not received chemotherapy or radiotherapy before surgery,The two groups are comparable, for the age, sex and Dukes stages of the patients have no statistical significance (P>0.05). We observe the cases of the operation and postoperation,the cases of the specimens,and the fowllow-up of the two groups.ResultsThere are no complications and cases of death caused by the operation during and after operations in the two groups and in the group of laparoscopic surgery, there are two cases transferring open operation. The operation time of laparoscopic surgery is longer than the group of open surgery (180.73±19.06) vs (136.15±11.82)min, which has significance (P<0.01). Meanwhile, the blood loss of laparoscopic group is obviously less than the group of open surgery [(103.59±20.90)ml vs (201.34±28.96)ml, P<0.01]. The total number of lymph nodes eliminated has no differences between the two groups[(12.73±0.85) vs (13.1±1.49), P>0.05]. The length of distal incisal margin of Dixon surgery in laparoscopic surgery is longer than the case in open surgery [(3.86±0.51)cm vs (3.48±0.51)cm, P<0.01]. Evacuation time are earlier than the case in open surgery [(2.96±0.57)d vs (3.35±0.45) d P<.01]. Time of having liquid diet after the operation is [(3.04±0.37)d vs (4.79±0.61)d, P<0.01]. Time of having solid diet after the operation is [(3.67±0.52)d vs (5.72±0.72)d, P<0.01]. Time of remaining urethral catheter is [(5.12±0.8)d vs (6.93±0.86)d, P<0.0]. Hospital stays in the group of laparoscopic surgery is shorter than the case in open surgery[(10.62±0.43)d vs(14.54±0.97)d, P<0.01]. However, hospitalization expenses of laparoscopic group are more than the other group[(4.01±0.75)×104(?)vs(3.11±0.41)×104(?), P<0.05]. The survival rate in the two groups has no significance[87.1%(27/31) vs 88.57% (31/35),P>0.05)].ConclusionsLaparoscopic surgery is safe and feasible in treating colonrectal carcinoma and it has advantages of small trauma, quick recovery, few pains and so on. Laparoscopic surgery is at present a safe, efficient and mini-invasive way to treat colonrectal carcinoma.