论文部分内容阅读
目的探讨老年结直肠癌患者行腹腔镜切除术的效果及安全性。方法年龄>70岁结直肠癌患者90例,行腹腔镜结直肠癌切除术44例为腹腔镜组,行开腹结直肠癌切除术46例为开腹组,比较2组手术时间、术中出血量、术后肛门排气时间和住院时间以及手术并发症发生情况。结果 2组手术时间比较差异无统计学意义(P>0.05),腹腔镜组术中出血量[(120.0±40.3)mL]较开腹组[(200.0±50.3)mL]少,肛门排气时间[(3.2±0.8)d]和住院时间[(8.0±2.3)d]较开腹组[(4.0±1.0)、(9.6±2.6)d]短(P<0.05);术后2组均无死亡病例,腹腔镜组并发症发生率(15.9%)低于开腹组(47.8%)(P<0.05)。结论腹腔镜结直肠癌切除术用于治疗老年结直肠癌患者安全、有效。
Objective To investigate the effect and safety of laparoscopic resection in elderly patients with colorectal cancer. Methods 90 patients with colorectal cancer aged> 70 years, 44 patients undergoing laparoscopic resection of colorectal cancer as laparoscopic group, 46 patients undergoing laparoscopic colorectal cancer resection for laparotomy. The operative time, Bleeding, postoperative anal exhaust time and hospital stay, as well as the incidence of complications. Results There was no significant difference in operative time between the two groups (P> 0.05). The amount of bleeding during laparoscopic surgery was (120.0 ± 40.3) mL less than that of the open group (200.0 ± 50.3 mL) (4.0 ± 1.0), (9.6 ± 2.6) d] in the open group [(3.2 ± 0.8) d] and hospital stay [(8.0 ± 2.3) d] The death rate, the incidence of complications in laparoscopic group (15.9%) was lower than that in open group (47.8%) (P <0.05). Conclusions Laparoscopic colorectal cancer resection is safe and effective for the treatment of elderly patients with colorectal cancer.