腹腔镜手术治疗高龄结直肠癌患者的效果研究

Laparoscopic surgery for treating elderly patients with colorectal cancer: an effect research

目的探讨腹腔镜手术治疗高龄结直肠癌患者的临床效果。方法纳入高龄结直肠癌患者70例并随机分成对照组和观察组,各35例。其中对照组行常规开腹手术,观察组行腹腔镜手术治疗。比较两组手术情况及并发症发生情况。结果观察组术中出血量、总并发症发生率明显少/低于对照组(均P<0.05);两组手术耗时,淋巴结清扫数量,术后1年生存率、复发率、远处转移率比较,差异均无统计学意义(均P>0.05)。结论腹腔镜手术治疗高龄结直肠癌的临床效果与开腹手术相近,但安全性更高,更具推广价值。

Objective To explore the clinical effect of laparoscopic surgery for treating elderly patients with colorectal cancer. Methods A total of 70 elderly patients with colorectal cancer were enrolled and assigned to control and observation groups, with 35 cases in each group. Of them, the control group underwent routine open surgery, whereas the observation group underwent laparoscopic surgery for treatment. The surgical status and occurrence of complications were compared between the two groups. Results The observation group yielded less intraoperative bleeding volume and a lower incidence of total complication as compared with the control group(all P<0.05). There were no statistically significant differences in operation duration, number of lymph node dissection, and one-year-postoperative survival rate, recurrence rate, as well as distance metastasis rate between the two groups(all P>0.05). Conclusion The clinical effect of laparoscopic surgery for treating elderly patients with colorectal cancer is similar to that of open surgery;however, the former has a higher safety, which has a higher promotional value.