摘要
目的探讨高龄结直肠癌患者腹腔镜根治术的安全性及可行性。方法回顾性分析2008年1月至2009年12月同期收治的75岁以上高龄结直肠癌患者腹腔镜手术组(26例)和传统开腹手术组(43例)资料,对两组临床疗效和并发症进行对比分析。结果腹腔镜组中有1例中转开腹手术,中转率3.8%。腹腔镜组的手术失血量较开腹组少,(104.5±98.2)mL vs.(179.5±112.6)mL,P<0.05;腹腔镜组的肠道功能恢复时间较开腹组短,(2.27±0.46)d vs.(3.68±0.58)d,P<0.05;腹腔镜组术后并发症发生率11.5%(3/26),而开腹组为30.2%(13/43),明显高于腹腔镜组(P<0.05)。两组手术时间和阳性淋巴结数差异无统计学意义(P>0.05)。结论结直肠癌腹腔镜根治术用于治疗高龄结直肠癌患者同样安全有效,可以降低术后并发症的发生率。
Objective To evaluate the feasibility and safety of laparoscopic resection for colorectal carcinoma in elderly patients. Methods From January 2008 to December 2009, 69 patients over 75 years underwent radical resection of colorectal carcinoma in our hospital. Among them, 26 received laparoscopic procedure and 43 underwent open surgery. The outcomes and complications after these 2 surgeries were analyzed retrospective- ly. Results In the iaparoscopic group, 1 patient （3.8%） was converted to open surgery. The mean blood loss （ 104.5 ±98.2 mL vs. 179.5 ±112.6 mL, P 〈0.05） and time to restoration of intestinal function （2.27 ± 0.46d vs. 3.68 ± 0.58d, P 〈0.05 ） were significantly different between the laparoscopy group and open surgery group. The complication rate in the laparoscopic group was 11.5 % （3/26） , which was significantly lower than that in the open group [30.2% （13/43） ,P 〈0.05]. However, no significant difference was found in the surgical duration and the number of resected lymph nodes （ P 〉 0.05 ）. Conclusions Laparoscopic radical resection is a safe, beneficial and minimally invasive surgery for elderly patients with colorectal carcinoma, the method can reduce the rate of postoperative complications.
出处
《中国肿瘤外科杂志》
CAS
2011年第1期7-10,共4页
Chinese Journal of Surgical Oncology
关键词
老年人
结直肠癌
腹腔镜手术
开腹手术
疗效比较
手术失血量
肠道功能恢复时间
安全性
elderly
colorectal carcinoma
laparoscopic surgery
celiotomy
comparative effica- cy
blood loss
time to restoration of intestinal function
safety
