腹腔镜与开腹手术治疗老年结直肠癌的疗效及术后并发症分析

Comparison of clinical efficacy and complications of laparoscopic operation and laparotomy in the treatment of elderly colorectal cancer

目的探讨采用腹腔镜与开腹手术治疗老年结直肠癌的临床效果及术后并发症情况。方法收集进行手术治疗的73例结直肠癌患者的临床资料,其中腹腔镜手术患者47例,传统的开腹手术患者26例,对比分析两组患者的手术情况、术后恢复情况及并发症的发生情况。结果与开腹组患者相比,腹腔镜组患者的手术切口长度明显更短,术中出血量更少,两组差异有统计学意义(P<0.05)。腹腔镜组肠鸣音恢复时间、术后下床活动时间、术后住院时间更短,术后使用止痛药者少于开腹组,差异均有统计学意义(P<0.05)。腹腔镜组总的术后并发症发生率为10.6%,明显低于开腹组的34.6%,差异有统计学意义(P<0.05)。结论老年结直肠癌患者采用腹腔镜手术治疗创伤小、疗效佳,且并发症少,安全性高,值得推广。

Objective To analyze the clinical efficacy and postoperative complications between laparoscopic surgery and open surgery for olderlycolorectal cancer.Methods Retrospective analysis of the clinical data of73cases of patients with olderlycolorectal cancer after surgery were conducted.47cases of patients treated with laparoscopic surgery,while26patients treated with traditional laparotomy.Comparative analysis of the2groups in surgical situation,postoperative recovery and complications were studied.Results Compared with open surgery patients,The length of the incision in the laparoscopic group was significantly shorter and the intraoperative blood loss was less(P<0.05).Wheeeting recovery time,postoperative time to get out of bed,time of postoperative hospital stay in the laparoscopic group was shorter,postoperative use of painkillers less than the laparotomy group(P<0.05).The incidence of postoperative complications was10.6%in the laparoscopic group,which was significantly lower than that in the laparotomy group(34.6%),the difference was statistically significant(P<0.05).Conclusion For patients with colorectal cancer,laparoscopic surgery with the advantages of small trauma,good curative effect,fewer complications and high safety,is worthy of application.