腹腔镜手术治疗老年结直肠癌患者的安全性分析

Safety Analysis of Laparoscopic Surgery in the Treatment of Elderly Patients with Colorectal Cancer

目的研究腹腔镜手术应用于老年结直肠癌患者的临床治疗效果。方法将该院2017年1月—2019年12月36例老年结直肠癌患者分为两组,每组18例。对照组接受传统开腹手术治疗,观察组给予腹腔镜手术治疗。比较两组患者的手术指标以及并发症发生率情况。结果两组患者的手术时间和淋巴结清扫数量比较,差异无统计学意义(t=1.092、0.996,P=0.282、0.326>0.05);观察组患者的出血量明显比对照组患者更少,肛门排气时间以及住院时间显著短于对照组患者,差异有统计学意义(t=18.132、3.408、6.521,P<0.05);观察组患者的并发症发生率为16.67%,对照组患者的并发症发生率为44.44%,观察组患者的并发症发生率比对照组患者明显更低,组间差异有统计学意义(χ^2=5.172,P<0.05)。结论腹腔镜手术应用于老年结直肠癌患者的治疗,其临床效果确切,不仅能有效减少患者的出血量和并发症,还可缩短治疗时间,加速患者恢复,是一种安全可靠的治疗方案。

Objective To study the clinical effect of laparoscopic surgery in elderly patients with colorectal cancer.Methods 36 elderly patients with colorectal cancer in the hospital from January 2017 to December 2019 were divided into two groups, each with 18 cases. The control group received traditional open surgery, and the observation group received laparoscopic surgery. The surgical indicators and the incidence of complications were compared between the two groups. Results There was no statistically significant difference in the operation time and the number of lymph node dissections between the two groups of patients(t=1.092, 0.996, P=0.282, 0.326 >0.05);the observation group had significantly less bleeding than the control group, and the anal exhaust time The length of hospital stay was significantly shorter than that of the control group, and the difference was statistically significant(t =18.132, 3.408,6.521, P<0.05);the complication rate of the observation group was 16.67% and that of the control group was 44.44 %,the complication rate of the observation group was significantly lower than that of the control group, and the difference between the groups was statistically significant(χ^2=5.172, P <0.05).Conclusion Laparoscopic surgery is used in the treatment of elderly patients with colorectal cancer, and its clinical effect is accurate. It can not only effectively reduce the bleeding and complications of the patient, but also shorten the treatment time and accelerate the recovery of the patient. It is a safe and reliable treatment plan.