Effects of Laparoscopic Assisted and Traditional Laparotomy Radical Surgery for Colon Cancer on Postoperative Intestinal Function and Long-term Prognosis in Patients with Stage Ⅱ/Ⅲ Colon Cancer
Objective:To investigate the surgical outcomes of laparoscopic assisted versus traditional open radical surgery for colon cancer in patients with stage Ⅱ/Ⅲ colon cancer,and their effects on postoperative intestinal function and long-term prognosis.Method:A total of 78 patients with stage Ⅱ/Ⅲ colon cancer who were admitted to General Hospital of Pingxiang Mining Group Co.from May 2020 to November 2021 were selected,they were randomly divided into the control group(39 cases)and the observation group(39 cases).The control group received traditional laparotomy radical surgery for colon cancer,the observation group received laparoscopic assisted radical surgery for colon cancer.Surgical conditions of the two groups were analyzed,and postoperative intestinal function was recorded,all patients were followed up for 2 years to investigate their long-term prognosis.Result:Surgical time of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,surgical incision and hospital stay were significantly shorter than those of the control group,the differences were statistically significant(P<0.05).The postoperative recovery time for bowel sounds,postoperative anal exhaust time,postoperative time for eating liquid food and postoperative anal defecation time in the observation group were significantly earlier than those in the control group,the differences were statistically significant(P<0.05).Before surgery,there were no statistically significant differences in the levels of gastrin or motilin between the two groups(P>0.05);1 week after surgery,the levels of gastrin and motilin in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Follow-up survey found that the incidence of complications,local recurrence rate and distant metastasis rate in the observation group compared to the control group,the differences were not statistically significant(P>0.05).Conclusion:Both laparoscopic assisted and traditional laparotomy radical surgery for colon cancer can achieve good results in the treatment of stage Ⅱ/Ⅲ colon cancer.However,therapeutic effect of the former is significantly better as it can not only reduce surgical risk and promote postoperative recovery,but also improve gastrointestinal hormones and gastrointestinal function.Its safety and long-term efficacy are better.
Laparoscopic assistedTraditional laparotomyRadical surgery for colon cancerStage Ⅱ/Ⅲ colon cancerSurgical conditionPostoperative intestinal functionLong-term prognosis
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