Abstract:
Objective To compare the renent follow-up study of laparoscopic and laparotomy in the treatment of colorectal cancer based on the concept of rapid recovery（FTS）.
Methods A retrospective cohort study of 763 patients with colorectal cancer who underwent surgery from March 2017 to May 2019 was performed. They were divided into open surgery group（FTS + laparotomy）and laparoscopic surgery group（FTS + laparoscopy）according to different surgical methods. SPSS 24.0 statistical analysis software was used. Intraoperative and postoperative indicators，gastrointestinal quality of life index（GIQLI），prognostic nutritional index（PNI）are expressed as（
±
s），and independent sample t test was performed. Complications are expressed in percentage，
χ2 test. Cumulative survival rate is tested by Log Rank.
P<0.05 was considered statistically significant.
Results Compared with the Open Group，laparoscopic surgery took longer time，less incision length，less intraoperative blood loss，less complication rate，and shorter postoperative ventilation，ambulation and hospitalization time（P<0.05）. GIQLI was higher and PNI was lower t in laparoscopic group than in open group 6 months after operation（P<0.05）.There was no significant difference in 1-year survival rate between laparoscopic group and open group（93.5% vs. 92.2%）（P>0.05）.
Conclusion The recent follow-up results of patients with colorectal cancer treated by FTS-based laparotomy and laparoscopic surgery are similar，but the latter is more conducive to improving prognostic，nutrition and quality of life，with fewer complications and less bleeding.
Key words:
Colorectal neoplasms,
Laparoscopes,
Laparotomy,
Fast track surgery,
Comparative effectiveness research
Peihua Yu, Yiming Hao, Lu Li. The difference of short-term follow-up between laparoscopic and open surgery for colorectal cancer based on the concept of rapid rehabilitation[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(02): 226-229.