腹腔镜结直肠癌根治术对老年结直肠癌患者胃肠功能及创伤恢复的影响

Effect of laparoscopic radical resection of colorectal cancer on gastrointestinal function and trauma recovery in elderly patients with colorectal cancer

目的探讨腹腔镜结直肠癌根治术对老年结直肠癌患者胃肠功能及创伤恢复的影响。方法选取2018年1月至2020年6月凌海市人民医院外科收治的48例老年结直肠癌患者作为研究对象,随机分为对照组与研究组,每组24例。对照组采用传统开腹手术,研究组采用腹腔镜结直肠癌根治术,比较两组手术指标、术后并发症发生情况及胃肠功能恢复情况。结果研究组术中出血量明显少于对照组,创口愈合时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率为8.34%,低于对照组的37.50%,差异有统计学意义(P<0.05)。研究组术后胃泌素、胃动素水平均高于对照组,肛门排气时间短于对照组,差异有统计学意义(P<0.05)。结论腹腔镜结直肠癌根治术治疗老年结直肠癌效果显著,能有效减少术中出血量,缩短创口愈合时间及住院时间,降低并发症发生率,促进患者胃肠功能恢复,值得临床推广应用。

Objective To investigate the effect of laparoscopic radical resection of colorectal cancer on gastrointestinal function and trauma recovery in elderly patients with colorectal cancer.Method A total of 48 elderly patients with colorectal cancer admitted to the Department of Surgery,Linghai People's Hospital from January 2018 to June 2020 were selected as the research subjects,and they were randomly divided into control group and study group,with 24 cases in each group.The control group was treated with traditional laparotomy,and the study group was treated with laparoscopic radical resection of colorectal cancer,the surgical indexes,postoperative complications and gastrointestinal function recovery were compared between the two groups.Results The amount of bleeding in the study group was significantly less than that in the control group,and the wound healing time and hospitalization time were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 8.34%,which was lower than 37.50%in the control group,and the difference was statistically significant(P<0.05).The levels of gastrin and motilin in the study group were higher than those in the control group,and the anal exhaust time was shorter than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Laparoscopic radical resection of colorectal cancer is effective in the treatment of elderly colorectal cancer,it can effectively reduce intraoperative blood loss,shorten wound healing time and hospitalization time,reduce the incidence of complications,and promote the recovery of gastrointestinal functionwhich,is worthy of clinical promotion and pplication.