关键词: 腹腔镜, 结直肠癌, 肝转移, 同期切除

Abstract:

【Abstract】 Objective To study the clinical value of simultaneous laparoscopy combined with open on colorectal cancer asiociated with liver metastasis. Methods The data was selected from 34 cases of preoperative diagnosis of colorectal cancer patients asiociated with liver metastasis from January 2009 to December 2012 in our hospital..Among 34 cases,.19 cases receiving simultaneous laparoscopy combined with open resection served as the treatment group,.the other 15 cases receiving traditional open resection served as the control group. The surgical time, blood loss, postoperative first passing flatus time and postoperative complications were recorded and analyzed in two groups. Results In the treatment group, surgical time.(97±2 min), blood loss (106±2 mL), the first postoperative passing flatus time (2.65±1.58 d), hospitalization time (11.26±1.89 d) were better than that in the control group (P<0.05). Complication rate in the treatment group (10.53%) was significantly lower than that control group (P<0.05). Conclusion Simultaneous laparoscopy combined with open resection on colorectal liver metastases is safe and effective,.and with rapid postoperative recovery,.short hospital stay, low complication rate, and is more secure and reliable than triditional open surgery treatment. For some patients with late stage colorectal cancer, this surgicalprocedure provides a better option.

Key words: Laparoscopic, Colorectal cancer, Liver metastases, Simultaneous resection