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目的探讨腹腔镜手术治疗老年人妇科肿瘤的可行性及意义。方法回顾分析江苏省宿迁市工人医院4年来腹腔镜手术治疗的26例老年妇科肿瘤,对患者的一般情况、并发症、对手术和麻醉的耐受能力等进行分析。结果全部患者均安全度过麻醉期和手术期,恶性病变组的手术持续时间、术中出血量和术后住院时间均较良性病变组为高。结论老年妇科患者能够耐受妇科腹腔镜手术,但是要做好充分的术前准备,并且要有完善的围手术期处理。
Objective To investigate the feasibility and significance of laparoscopic surgery for gynecologic oncology in the elderly. Methods A retrospective analysis of Jiangsu Province, Suqian Workers Hospital for 4 years laparoscopic surgery in 26 cases of gynecologic oncology, the general situation of patients, complications, surgical and anesthetic tolerance were analyzed. Results All the patients were safely under anesthesia and surgery. The duration of surgery, the amount of blood loss and the postoperative hospital stay in patients with malignant lesions were significantly higher than those in benign lesions. Conclusion Geriatric gynecological patients can tolerate gynecological laparoscopic surgery, but to make adequate preoperative preparation, and to have a good perioperative management.