腹腔镜下直肠癌根治术在治疗老年患者中的临床研究

目的:探讨老年直肠癌患者行腹腔镜微创手术的治疗效果。方法:回顾性分析了2008年7月至2011年1月本院收治的91例老年直肠癌患者,按治疗方式分为腹腔镜组39例和开腹组52例,术后随访3年,比较分析两组患者围手术期、手术并发症及预后情况。结果:腹腔镜组患者的术中出血量、肠功能恢复时间、术后发热请况及住院时间均优于开腹组(P0.05);腹腔镜组并发症发生率为2.6%,低于开腹组的21.1%(P0.05);腹腔镜组局部复发率、远处转移率及死亡率与开腹组比较均无统计学差异(P0.05)。结论:老年直肠癌患者行腹腔镜手术与开腹手术效果相当,且安全、微创,但远期疗效尚需进一步研究证明。

Clinical Study on Laparoscopic Surgery in Radical Resection of Rectal Cancer in Elderly Patients

Objective:To study the effect of elderly patients with rectal cancer underwent laparoscopic minimally invasive operation.Methods:A retrospective analysis of 91 cases was conducted on elderly patients with colorectal cancer who were treated in our hospital from July 2008 to January 2011. The patients were divided into laparoscopic group (39 cases) and laparotomy group (52 cases) according to the treatment methods, followed-up for 3 years, postoperative. The perioperative situation, operation complications and prognosis of the two groups of patients were compared and analyzed.Results:The amount of bleeding, intestinal function recovery time, postoperative fever and hospitalization time in the laparoscopic group were better than those of laparotomy group (P<0.05); The complication rate was 2.6%, lower than 21.1%of laparotomy group (P<0.05); There was no significant difference in local recurrence rate, distant metastasis rate and mortality between the two groups (P>0.05).Conclusion:The clinical effect of elderly patients with rectal cancer underwent laparoscopic operation is similar to laparotomy operation, it''s safe and minimally invasive, but the long-term efficacy needs further study to prove.