腹腔镜手术治疗老年结直肠癌患者的优势探讨

Discussion on the Advantages of Senior Colorectal Carcinoma Treated with Laparoscopic Surgery

为探讨腹腔镜手术治疗老年结直肠癌患者的临床效果,将我科2015年1月至2017年2月收治的330例老年结直肠癌患者随机分为观察组和对照组,各165例,观察组给予腹腔镜手术治疗,对照组给予常规开腹手术治疗,对比2组手术时间、术中出血量、住院时间、术中心肺功能及术后并发症发生情况。结果显示,观察组手术时间、术中出血量、住院时间等均少于对照组,P<0.05;观察组术中射血分数(EF)、动脉血二氧化碳分压(PaCO_2)、动脉血氧分压(PaO_2)、心脏指数(CI)等术中心肺功能指标均优于对照组,P<0.05;观察组并发症发生率(1.82%)明显低于对照组(10.91%),P<0.05。结果显示,对老年结直肠癌患者行腹腔镜手术治疗可改善患者手术情况,降低手术风险,降低患者并发症发生率,可在临床推广应用。

This study was to investigate the clinical effect of senior colorectal carcinoma treated with lapa roscopic surgery,randomly divided 330 cases who admitted in author＇s department from Jan. 2015 to Feb. 2017 yr. into observation group and control one, 165 cases for each,which the former recived laparoscopic surgery,meanwhile the latter received routine surgery via laparotomy;then compared both group＇s follow ing issues such as operative time,intraoperative bleeding volume, hospital stay, intraoperative cardiopulmonary function, and postoperative incidence of complication. As results, in operative time, intraoperative bleeding volume,and hospital stay the former was shorter or less than the latter （ P 〈0.05）;in intraoperaive ejection fractions（EF）,partial pressure of carbon Dioxide（PaCO2） and partial pressure of oxygen （PaO2） of arterial blood,as well cardiac index（CI） etc. intraoperative cadiopulmonary function indexes the former was all superior to the latter （ P 〈0.05） ;and,the complication incidence of the former was significantly lower than that of the latter（1.82% vs 10.91%, P 〈0.05）.Results show that laparoscopic surgery for senior colorectal carcinoma can improve patient＇s operative situation,reduce the operative risk, lower complication incidence, it is worthy of clinical popularization and application.