高龄结直肠癌患者行腹腔镜手术的可行性及临床效果分析

Clinical feasibility and effectiveness analysis of laparosscopic surgery in the treatment of elderly patients with colorectal neoplasm

目的分析高龄结直肠癌患者行腹腔镜手术的可行性及临床疗效。方法选取我院2013年1月至12月收治的80例结直肠癌患者为本次研究对象,随机将所有患者分为对照组与研究组,每组40例。其中对照组患者给予传统开腹手术治疗,研究组患者采用腹腔镜手术治疗,比较两组患者手术时间、术中出血量、肛门排气时间、饮食恢复时间、术后并发症及随访情况。结果两组患者的手术时间、术后淋巴结扫描阳性率、复发率、转移率及3年死亡率比较,差异均无统计学意义(P>0.05),研究组患者术中出血量、肛门排气时间、饮食恢复时间、术后并发症总发生率与住院时间均优于对照组(P<0.05)。结论高龄结直肠癌患者采用腹腔镜手术治疗,临床效果满意,且创伤小,安全性高,值得临床推广应用。

Objective To analyse the clinical feasibility and effect of laparosscopic surgery in the treatment of elderly patients with colorectal neoplasm. Methods Eighty cases of elderly patients with colorectal neoplasm admitted in our hospital from January 2013 to December 2013 were selected as the study objects, and the patients were randomly divided into control group and study group, with 40 cases in each group. The control group was treated with traditional open surgery, while the study group was treated with laparosscopic surgery. The operation time, intraoperative blood loss, postoperative exhaust time, diet recuperation time, postoperative complications and followed-up results were compared between the two group. Results There were no significant differences in the operative time, postoperative lymph node scan rate,recurrence rate, postoperative metastasis rate and 3 years mortality rate between the two groups（P〉0.05）. The intraopera tive blood loss, postoperative exhaust time, diet recuperation time, total incidence rates of complications and hospitalized days of the patients in the study group were better than those in the control group（P〈0.05）. Conclusion The clinical effect of laparosscopic surgery in the treatment of elderly patients with colorectal neoplasm is more satisfactory, with small trauma, high safety, which is worth to be widely applied in clinic.