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腹腔镜与开腹手术治疗老年结直肠癌245例疗效对比研究 被引量:32

Evaluation of laparoscopic versus open colorectal surgery in elderly patients:an evaluation of 245 patients
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摘要 目的:探讨腹腔镜与开腹手术治疗老年结直肠癌患者的临床疗效。方法:选取年龄大于或等于70岁的结直肠癌患者245例,分为腹腔镜组(105例)与开腹组(240例),分别进行腹腔镜与开腹手术治疗,并对比分析两组患者临床疗效。结果:腹腔镜组患者手术切口长度为5.0cm,明显短于开腹组的12.0cm(P<0.01);腹腔镜组患者手术时间为125min,明显短于开腹组的80min(P<0.001);腹腔镜组患者术后镇痛药物及住院时间分别为1、6d,均分别短于开腹组的3、10d(P<0.01);两组患者术后肠功能恢复时间及术后并发症比较,差异均无统计学意义(P>0.05)。结论:采用腹腔镜根治术治疗老年结直肠癌患者,可以达到与开腹手术一样的根治范围和手术安全性,具有疼痛轻和住院时间短等优点。 Objective:The aim of our study was to compare short-term outcomes of laparoscopic colorectal(LC)versus open colorectal(OC)surgery in elderly patients.Methods:Patients≥70 years old that underwent elective LC were compared with controls who underwent OC,to compare short-term outcomes of two groups.Data was extracted from a prospectively collected database.Results:The laparoscopic arm was characterised by shorter incisions(LC 5.0 cm vs OC 12.0 cm,P<0.01)but longer operating times(LC 125 min vs OC 80 min,P<0.01).Median use of narcotics and length of stay were significantly shorter in the laparoscopic group(LC 1 days vs OC 3 days,P<0.01 and LC 6 days vs OC 10 days,P<0.01,respectively).There was no significant difference in median recovery of bowel function(LC 2 days vs OC 4 days,P>0.05)and post-operative morbidity(P>0.05).Conclusion:LC in elderly patients was achieved the same radical scope and surgical safety with OC,LC was also associated with less narcotic use and shorter length of stay.
出处 《陕西医学杂志》 CAS 2018年第1期64-65,77,共3页 Shaanxi Medical Journal
基金 陕西省铜川市科技局课题(KJ2015)
关键词 结直肠肿瘤/外科学 腹腔镜检查 结直肠外科手术 对比研究 老年人 Colorectal neoplasms/surgery Laparoscopy Colorectal surgery Comparative study Aged
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  • 1Carlo Staudacher,Andrea Vignali.Laparoscopic surgery for rectal cancer:The state of the art[J].World Journal of Gastrointestinal Surgery,2010,2(9):275-282. 被引量:16
  • 2Mynster T, Harling H. Laparoscopic surgery for colorectal cancer in Denmark[J]. Ugeskr Laeger ,2009,171(41) :2977-2982.
  • 3Akiyoshi T, Kuroyanagi H, Konishi T, et al . Factors affecting the difficulty of laparoscopic total mesorectal excision with double stapling technique anastomosis for low rectal cancer [J].Surgery ,2009,146(3) : 483-489.
  • 4Speetor R, Bard S, Wasserberg N. Hand-assisted laparoscopic colectomy[J]. Harefuah,2011,150(7) :568-571.
  • 5Chung C C, Ng D C, Tsang W W, et al. Hand-assisted laparoscopic vs open right colectomy a randomized controlled trial[J]. Ann Surg,2007,246(5) ;728-733.
  • 6Aalbers A G, Doeksen A, Van Berge Henegouwen M I, et al. Hand-assisted laparoscopic versus open approach in colorectal surgery: a systematic review[J]. Colorectal Dis, 2010,12 (4) : 287-295.
  • 7Misawa T, Shiba H, Usuba T, et al. Systemic inflammatory response syndrome after hand-assisted [aparoscopic distal panereatectomy[J]. Surg Endosc,2007,21(8) :1446-1449.
  • 8Ferlay J, Parkin DM, Steliarova-Foucher E. Estimates of cancer incidence and mortality in Europe in 2008[J]. Eur J Cancer,2010,46:765-781.
  • 9Van den Broek CB, Dekker JW, Bastiaannet E, et al. The survival gap between middle-aged and elderly colon cancer patients. Time trends in treatment and survival[J]. Eur J Surg Oncol, 2011, 37:904-912.
  • 10Nitsche U, Spath C, Muller TC, et al. Colorectal cancer surgery remains effective with rising patient age[J]. Int J ColorectaI Dis,2014,29 971-979.

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