| 林波 曹天生 彭喜玲 邹来宾 吴佳勉.腹腔镜下直肠癌根治术在治疗老年患者中的临床研究[J].,2015,15(18):3548-3550 |
| 腹腔镜下直肠癌根治术在治疗老年患者中的临床研究 |
| Clinical Study on Laparoscopic Surgery in Radical Resection of RectalCancer in Elderly Patients |
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| DOI： |
| 中文关键词: 腹腔镜 直肠癌 老年人 效果 |
| 英文关键词: Laparoscope Rectal cancer Aged Effect |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨老年直肠癌患者行腹腔镜微创手术的治疗效果。方法：回顾性分析了2008 年7 月至2011 年1 月本院收治的91
例老年直肠癌患者，按治疗方式分为腹腔镜组39 例和开腹组52 例，术后随访3 年，比较分析两组患者围手术期、手术并发症及
预后情况。结果：腹腔镜组患者的术中出血量、肠功能恢复时间、术后发热请况及住院时间均优于开腹组（P<0.05）；腹腔镜组并发
症发生率为2.6%，低于开腹组的21.1%(P<0.05）；腹腔镜组局部复发率、远处转移率及死亡率与开腹组比较均无统计学差异（P>0.
05）。结论：老年直肠癌患者行腹腔镜手术与开腹手术效果相当，且安全、微创，但远期疗效尚需进一步研究证明。 |
| 英文摘要: |
| Objective:To study the effect of elderly patients with rectal cancer underwent laparoscopic minimally invasive
operation.Methods:A retrospective analysis of 91 cases was conducted on elderly patients with colorectal cancer who were treated in our
hospital from July 2008 to January 2011. The patients were divided into laparoscopic group (39 cases) and laparotomy group (52 cases)
according to the treatment methods, followed-up for 3 years, postoperative. The perioperative situation, operation complications and
prognosis of the two groups of patients were compared and analyzed.Results:The amount of bleeding, intestinal function recovery time,
postoperative fever and hospitalization time in the laparoscopic group were better than those of laparotomy group (P<0.05); The
complication rate was 2.6%, lower than 21.1%of laparotomy group (P<0.05); There was no significant difference in local recurrence rate,
distant metastasis rate and mortality between the two groups (P>0.05).Conclusion:The clinical effect of elderly patients with rectal
cancer underwent laparoscopic operation is similar to laparotomy operation, it's safe and minimally invasive, but the long-term efficacy
needs further study to prove. |
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