解放军医药杂志2018，Vol.30Issue(5)：19-21,29,4.DOI:10.3969/j.issn.2095-140X.2018.05.005
腹腔镜手术在高龄结直肠癌患者中的安全性和适用性探讨
Safety and Applicability of Laparoscopic Surgery in Treatment of Elderly Patients with Colorectal Cancer
摘要
Abstract
Objective To analyze safety and applicability of laparoscopic surgery in treatment of elderly patients with colorectal cancer. Methods A total of 207 elderly colorectal cancer patients with traditional surgical ablation (group A) and 118 elderly colorectal cancer patients with laparoscopic surgical ablation (group B) admitted during April 2012 and June 2014 were recruited in this study. Differences in intraoperative indexes, postoperative recovery indexes, postoperative complications and prognosis were compared in two groups. Results Operative time in group B was longer than that in group A, but the difference was not statistically significant (P > 0. 05). Intraoperative bleeding volume in group B was significantly less than that in group A (P < 0. 05). There was no statistical difference in number of lymph node dissection between two groups (P > 0. 05). Postoperative time of anal exhaust, ambulation time, eating fluid time and hospital stay in group B were shorter than those in group A, and the differences were statistically significant (P <0. 05). The total incidence rate of complications in group B was significantly lower than that in group A (P < 0. 05). The two groups had similar fatality rate during hospitalization, but the difference was not statistically significant (P > 0. 05). There were no significant differences in survival, recurrence and distant metastasis rates in 1 year and 3 years after opera-tion between two groups (P > 0. 05). Conclusion Laparoscopic surgical ablation in treatment of elderly patients with colorectal cancer has advantages of mini intraoperative trauma, rapidly postoperative recovery and low incidence rate of complications, and it is comparable to the traditional group in prognosis.关键词
结直肠肿瘤/老年人/结直肠外科手术/腹腔镜手术/安全性Key words
Colorectal neoplasms/Aged/Colorectal surgery/Laparoscopic operation/Safety分类
医药卫生引用本文复制引用
杨明川,雷绍斌,幸代园,王建,许海平,潘勇..腹腔镜手术在高龄结直肠癌患者中的安全性和适用性探讨[J].解放军医药杂志,2018,30(5):19-21,29,4.基金项目
四川省卫生和计划生育委员会科研课题(150217) （150217）
