论文部分内容阅读
目的评价腹腔镜及开腹手术治疗浆膜浸润结直肠癌病人的预后。方法回顾性分析2003年6月至2007年6月南方医科大学附属南方医院收治的浆膜浸润结直肠癌病人的临床、病理资料及随访数据。对两组病人生存及复发情况进行比较。结果腹腔镜组和开腹组病人的基线数据及随访时间差异无统计学意义。腹腔镜组总死亡率为20.7%,开腹组为28.9%,两组之间差异无统计学意义(P=0.234);腹腔镜组肿瘤相关死亡率为17.2%,开腹组为26.8%,两组之间差异无统计学意义(P=0.105);腹腔镜组复发率为12.1%,开腹组为26.8%,差异有统计学意义(P=0.024)。生存分析显示腹腔镜组病人累积无复发率高于开腹组(P=0.035),两组病人累积总存活率(P=0.159)及肿瘤相关存活率(P=0.083)差异无统计学意义。结论对于浆膜侵润的结直肠癌,腹腔镜组病人复发率明显低于开腹组,因此可以获得部分优于开腹手术的结果。
Objective To evaluate the prognosis of patients with serosal invasion and colorectal cancer after laparoscopy and laparotomy. Methods The clinical, pathological data and follow-up data of patients with serosal invasion and colorectal cancer who were admitted to Nanfang Hospital, Southern Medical University from June 2003 to June 2007 were retrospectively analyzed. Survival and recurrence of the two groups were compared. Results There was no significant difference in baseline data and follow-up time between laparoscopic group and laparotomy group. The total mortality of laparoscopic group was 20.7% and that of open group was 28.9%, there was no significant difference between the two groups (P = 0.234); the tumor-related mortality of laparoscopic group was 17.2%, that of open group was 26.8% There was no significant difference between the two groups (P = 0.105). The recurrence rate was 12.1% in the laparoscopic group and 26.8% in the laparotomy group. The difference was statistically significant (P = 0.024). Survival analysis showed that the cumulative recurrence rate was significantly higher in laparoscopic patients than in open patients (P = 0.035). There was no significant difference between the two groups in cumulative overall survival (P = 0.159) and tumor-related survival (P = 0.083). Conclusions For serosal invasion of colorectal cancer, the relapse rate of laparoscopic patients was significantly lower than that of open laparotomy, so some results were obtained.