中国临床医学2011，Vol.18Issue(3)：344-346,3.
腹腔镜与常规开腹手术治疗老年人乙状结肠癌及直肠癌的临床对比研究
Study on Clinical Effect on Laparoscopic and Open Radical Resection for Senile Patients with Sigmoid or Rectal Cancer
陈建钢 1张学利 1章勇 2杨治 1顾建萍 1单远洲 1于进玲1
作者信息
- 1. 上海市奉贤区中心医院普外科,上海,201400
- 2. 复旦大学附属金山医院普外科,上海,200540
- 折叠
摘要
Abstract
Objective:To explore the clinical probability of laparoscopic radical resection for senile patients with sigmoid or rectal cancer and compare its short-term effect with the procedure of traditional open operation.Methods: A total of 185 senile patients (age＞70) with sigmoid or rectal cancer were divided into two groups: laparoscopic radical resection group (Group L)112 patients and traditional open radical group (Group O) 73 patients.In Group L, the patients were performed total laparoscopic radical resection for sigmoid or rectum, the sample was taken out from a 4.0cm transverse incision above pubic symphysis.In Group O, the patients were performed traditional open operation.Compared the two groups patients' operation time,number of resected lymph nodes, costs, pain index, time of digestive function recovery, the rate of indwelling catheter and the rate of post-operation complications including incision infection, anastomotic leakage, abdominal abscess, deep vein thrombosis (DVT) and pneumonia.Results: No death cases in two groups, all laparoseopic operations were succeeded in Group L.In Group L and Group O, operation time were 109.7 ± 11.3 min and 121.5 ± 12.2 min, number of resection lymph nodes were 18.5±2.3 and 16.6±2.5, costs were 3.57±0.67 and 2.98±0.55 ten thousand yuan, P＞0.05.Pain index were 3.6±0.6 and 8.2± 1.1, time of digestive function recovery were 37.5 ± 6.6 h and 58.3 ± 7.9 h, the rate of indwelling catheter were 6.2％ and 24.6％, the rate of complications were 4.5％ and 14.9％ (P＜0.05).Conclusions: After proper preparation, performing laparoscopic radical resection for senile patients with sigmoid or rectal cancer is probable available and safe.When compared with traditional open procedure it presents more predominances.关键词
乙状结肠癌/直肠癌/腹腔镜/肿瘤/老年人/手术Key words
Sigmoid cancer/ Rectal cancer/ Laparoscope/ Tumor/ Senile/ Operation分类
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陈建钢,张学利,章勇,杨治,顾建萍,单远洲,于进玲..腹腔镜与常规开腹手术治疗老年人乙状结肠癌及直肠癌的临床对比研究[J].中国临床医学,2011,18(3):344-346,3.
