中国普通外科杂志2012，Vol.21Issue(10)：1196-1200,5.
高龄胃癌患者腹腔镜胃切除术安全性与近期疗效
Safety and short-term efficacy of laparoscopic gastrectomy for gastric cancer in elderly patients
何庆良 1王家兴 1石铮 1李良庆 1周俊峰 1黄发昆1
作者信息
- 1. 福建医科大学附属第一医院胃肠外科一区,福建福州350005
- 折叠
摘要
Abstract
The clinical data of 87 elderly patients (>70 years) with gastric cancer undergoing gastrectomy from July 2008 to December 2011 were retrospectively analyzed. Of the patients, 39 cases underwent laparoscopic gastrectomy (laparoscopic group) and the other 48 cases underwent traditional open gastrectomy (open surgery group). The general data, intraoperative variables, postoperative recovery and complications as well as therapeutic efficacy of the two groups were compared.Results: There were no significant differences between the two groups in sex distribution, median age, preoperative comorbidities, preoperative ASA score or disease profiles. Except for the average operative time (no difference was found between the two groups); the average intraoperative blood loss (73 mL vs. 309 time for bowel function recovery (4.1 d vs. 5.5 d), time to liquid intake (4.2 d vs. 6 d), average length of hospital stay and incidence of postoperative cardiopulmonary complications (28.2% vs. 563%) were all significantly reduced in laparoscopic group compared with open surgery group (all P<0.05). The average length of follow-up was 29 months; and the survival rate of laparoscopic group and open surgery group was 57.1% and 65.9%, respectively (P>0.05).Conclusion: Laparoscopic gastrectomy for gastric cancer in elderly patients is safe and feasible, and can reduce intraoperative blood loss and postoperative cardiopulmonary complications, as well as promote the recovery of postoperative gastrointestinal function.关键词
胃肿瘤/外科学/胃切除术,腹腔镜/老年人Key words
Stomach Neoplasms/surg/ Gastrectomy Laparoscopic/ Aged分类
医药卫生引用本文复制引用
何庆良,王家兴,石铮,李良庆,周俊峰,黄发昆..高龄胃癌患者腹腔镜胃切除术安全性与近期疗效[J].中国普通外科杂志,2012,21(10):1196-1200,5.
