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)