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腹腔镜直肠癌根治术对病人生活质量影响的分析

许菡 胡艳艳 金艳 奚蓓华 施晓群 吴蓓雯

外科理论与实践2012,Vol.17Issue(4):354-358,5.
外科理论与实践2012,Vol.17Issue(4):354-358,5.DOI:10.3969/j.issn.1007-1096.2012.04.016

腹腔镜直肠癌根治术对病人生活质量影响的分析

Quality-of-life analyses for patients with rectal cancer underwent radical laparoscopic surgery

许菡 1胡艳艳 2金艳 1奚蓓华 2施晓群 1吴蓓雯1

作者信息

  • 1. 上海交通大学医学院附属瑞金医院外科,上海200025
  • 2. 上海交通大学医学院附属瑞金医院上海市微创外科临床医学中心,上海200025
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摘要

Abstract

Objective To compare the impacts of radical laparoscopic surgery and conventional laparotomy on the quality of life (QOL) in patients with rectal cancer. Methods Quality of life questionnaire module, European Organisation for Research and Treatment of Cancer QLQ-C30, was used to evaluate the quality of life for all enrolled rectal cancer patients peri-operatively. Results No significant difference was observed in terms of age, gender, tumor location, as well as TNM staging between the groups. Overall QOL early after operation decreased significantly in both groups of patients comparing with preoperative data, except for emotional function and cognitive function. The trend of QOL recovery was observed in both groups 3—6 months after operation. Furthermore, the QOL recovery was earlier in laparoscopic group than in open group (P<0.05). Overall rating scales of health condition showed that recovery was earlier for patients underwent laparoscopic surgery than for patients underwent conventional open laparotomy. Conclusions Laparoscopic rectal surgery is safe, effective and less traumatic. Patients might favor a better and earlier recovery of postoperative QOL undergoing laparoscopic surgery, as compared to conventional open surgery.

关键词

腹腔镜/直肠癌/生活质量

Key words

Laparoscopy/ Rectal cancer/ Quality of life

分类

医药卫生

引用本文复制引用

许菡,胡艳艳,金艳,奚蓓华,施晓群,吴蓓雯..腹腔镜直肠癌根治术对病人生活质量影响的分析[J].外科理论与实践,2012,17(4):354-358,5.

外科理论与实践

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