老年直肠癌患者接受腹腔镜下根治术的可行性分析

Feasibility Analysis on Senior Rectal Cancer Patients to be Subject to Laparoscopic Radical Procedure

为评估老年直肠癌患者接受腹腔镜下根治术治疗的可行性,将直肠癌老年患者80例随机分为对照组和观察组,每组40例。对照组患者采用传统开腹直肠癌根治术治疗,观察组患者采用腹腔镜下直肠癌根治术治疗,观察2组患者手术指标、炎症因子水平、术后并发症发生率以及肿瘤复发情况。结果显示,观察组患者手术时间、首次排气时间、进食时间以及住院时间均短于对照组(P<0.05),术中出血量少于对照组(P<0.05);观察组患者C-反应蛋白(CRP)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于对照组(P<0.05);观察组患者术后并发症发生率明显低于对照组(P<0.05);2组患者肿瘤复发率比较差异无统计学意义(P>0.05)。结果表明,腹腔镜下直肠癌根治术在老年患者中应用具有明显优势,在降低炎症因子水平以及并发症发生率方面效果显著。

This study was to evaluate the feasibility of senior rectal cancer patients to be subject to laparoscopic radical procedure,randomly divided 80cases met above condition into control group(40cases,received routine open radical procedure for rectal cancer)and obsrevation group(40cases,laparoscopic radical procedure for rectal cancer);then,observed both groups'patients'operative norms,inflammatory factor's levels,postoperative complication incidence,and recurrence status.As results,in the time for operating,for first flatus from anus,for eating,and for hospitalization;in intraoperative bleeding volume,in the levels of CRP,IL-6and TNF-α;as well as in postoperative complication incidence,observation group was respectively shorter,less,lower,as well as lower than control group(all,P<0.05);in tumor recurrence rate there was no statistical difference between the two groups(P>0.05).Results show that laparoscopic radical procedure for rectal cancer of senior patients has significant advantage such as reducing inflammatory factors'level,and declining complication incidence.