开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者的疗效对比

Comparison of curative effect between radical resection of open rectal cancer and laparoscopic rectal cancer surgery in elderly patients with rectal cancer

目的比较开腹直肠癌根治术与腹腔镜直肠癌根治术对于老年直肠癌患者的疗效。方法以2014年3月—2019年3月行手术治疗的46例老年直肠癌患者为研究对象,采用随机数字表法分成腹腔镜组和开腹组各23例,比较2组患者的手术情况以及术后发生并发症情况。结果腹腔镜组患者的各项手术情况都显著优于开腹组,且腹腔镜组患者在术后出现并发症的概率也要明显低于开腹组,差异均有统计学意义(P<0.05)。结论相较于开腹直肠癌手术,腹腔镜直肠癌手术的治疗效果更好,有利于老年患者的术后恢复,值得在临床中推广使用。

Objective To compare the curative effect of radical resection of open rectal cancer and laparoscopic radical resection of rectal cancer in elderly patients with rectal cancer.Methods 46 elderly patients with rectal cancer from March 2014 to March 2019 were randomly divided into laparoscopy group(n=23)and open group(n=23). Two groups of patients were treated with corresponding surgical methods. The operative and postoperative complications were compared between the two groups.Results the operative status of the laparoscopic group was significantly better than that of the open group,and the incidence of postoperative complications in the laparoscopic group was significantly lower than that in the open group,and there was a significant difference in the data between the two groups,and the postoperative complications in the laparoscopic group were significantly lower than those in the laparotomy group,and there were significant differences between the two groups. There was statistical significance(P<0.05). Conclusion Compared with open rectal surgery,laparoscopic rectal surgery is more effective in the treatment of rectal cancer. In addition,minimally invasive operation is more conducive to postoperative recovery of elderly patients,and is worth popularizing in clinical practice.