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腹腔镜直肠癌根治术在老年患者中的临床应用

杜金林 戴志慧 金晰函 张天明 钟志凤

浙江医学2011,Vol.33Issue(12):1738-1740,3.
浙江医学2011,Vol.33Issue(12):1738-1740,3.

腹腔镜直肠癌根治术在老年患者中的临床应用

Laparoscopic radical resection for elderly patients with rectal cancer

杜金林 1戴志慧 1金晰函 1张天明 1钟志凤1

作者信息

  • 1. 321000,金华市中心医院肛肠外科
  • 折叠

摘要

Abstract

To evaluate the feasibility and safety of laparoscopic radical resection for elderly patients with rectalcancer.MethodsFrom June 2004 to June 2009, laparoscopic surgery and open radical resection were performed in 90 elderlypatients with rectal cancer. No difference was seen between the two groups in age,gender, diagnosis, complications and ASA (American society of anesthesiology score) class. The clinical data were collected and analyzed retrospectively. ResultsThemean blood loss (85.1mL± 23.7mL vs. 266.3± 167.2mL,P<0.01) .duration of operation (183.1 ±56.2min vs 150.1 ±57.3min, P<0.05) ,time to restore intestinal function (2.5 ± 0.7 d vs. 4.3 ±0.8 d, P<0.05), time to get out of bed (4 ± 0.7 d vs. 11 ±2.2d, P<0.05) were significantly different between the laparoscopy group and the open surgery group. No significant difference was found in the postoperative complication rate except the postoperative complication in respiratory system (2 vs 12, P<0.05). Laparoscopic radical resection is a safe and minimally invasive surgery for elderly patients with rectal cancer.

关键词

老年患者/直肠肿瘤/腹腔镜手术

Key words

Elderly/ Rectal neoplasm/ Laparoscepic surgery

引用本文复制引用

杜金林,戴志慧,金晰函,张天明,钟志凤..腹腔镜直肠癌根治术在老年患者中的临床应用[J].浙江医学,2011,33(12):1738-1740,3.

浙江医学

OACSTPCD

1006-2785

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