快速康复联合腹腔镜手术在结直肠癌治疗中的应用

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Abstract Objective: To explore the feasibility and advantage of rapid rehabilitation combining with laparoscopic surgery in colorectal cancer. Methods: Sixty-nine cases of colorectal cancer from 2013 to 2015 in Department of Anorectal Surgery of the Second Affiliated Hospital of Wenzhou Medical University were selected as observation objects. They were divided into four groups, group A: laparoscopy combined with rapid rehabilitation group, group B: open surgery combined with rapid rehabilitation group, group C: laparoscopy combined with conventional rehabilitation group, group D: open surgery combined with traditional rehabilitation group. Pairwise comparisons were made among the groups, and four groups of patients were compared with each other in the postoperative recovery time of intestinal peristalsis, the time of the first postoperative exhaust, postoperative pain score, postoperative activity time, total hospitalization time and C-reactive protein concentration in perioperative periodetc. Results: The postoperative recovery time, postoperative activity time and the total number of days of hospitalization of laparoscopy combined with rapid rehabilitation group patients were significantly shorter than that of the other three groups (P<0.05); postoperative pain score of group A was better than that of the other three groups (P<0.05); CRP of four groups declined in different degrees in the five days, and the blood CRP concentration of combination of laparoscopic fast recovery group was significantly higher than that of the other three groups (P<0.05); There was no significant difference among the four groups in postoperative anal exhaust time (P>0.05). Conclusion: The mode of laparoscopy combined with rapid rehabilitation can shorten patients’ peristalsis recovery time, early activity time of the patient and the total number of days of hospitalization, can relieve pain after surgery. What’s more, certain advantages can be found in patient recovery after surgery, in reducing surgical trauma to the patient’s stress response. It is worthy of promotion for its good clinical benefits.

Key words： rapid recovery laparoscopy colorectal neoplasms clinical application

Received: 13 September 2016

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	DONG Dianchao
	ZHOU Xuan
	ZHOU Yanyan
	LIU Changbao
	ZHENG Chenguo
	LU Min.

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2017/V47/I6/449

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