高龄结直肠癌患者腹腔镜手术的安全性分析  

Analysis on the Safety of Laparoscopic Surgery for Advanced Age Colorectal Cancer Patients

作　　者：周宏[1] 方阳[1] 夏建福[1] 周晓聪[1] 杨大庆[1] 

机构地区：[1]温州市第二人民医院肛肠外科,浙江温州325000

出　　处：《中国肛肠病杂志》2012年第10期13-15,共3页Chinese Journal of Coloproctology

摘　　要：为探讨腹腔镜手术治疗高龄结直肠癌患者的安全性和可行性，回顾2006年7月至2012年3月于我科接受限期性根治手术治疗且年龄≥75岁的132例结直肠癌患者资料，其中68例接受腹腔镜结直肠癌根治术（腹腔镜组），64例接受传统开腹结直肠癌根治术（开腹组），对比分析两组患者围手术期情况。结果显示：（1）腹腔镜组清除淋巴结数目为（11．26士4．35）枚，开腹组为（12．34±3．85）枚，两组差异无统计学意义，P〉0．05。（2）腹腔镜组手术时间为（192．50±46．20）min，略长于开腹组（184．30±41．10）min，但两组差异无统计学意义，P〉0．05。（3）腹腔镜组术中出血量为（107．42±50．32）ml，明显小于开腹组（208．46±91．36）ml，P〈0．05。（4）腹腔镜组术后胃肠功能恢复时间为（2．09±0．25）d，明显短于开腹组（3．81±0．29）d，P〈0．05。（5）腹腔镜组住院时间为（13．78±7．36）d，明显短于开腹组（23．16士14．79）d，P〈O．05。（6）腹腔镜组术后并发症总发生率为10．29％（7／68），明显低于开腹组23．44％（15／64），P〈O．05。（7）腹腔镜组无手术死亡病例，开腹组手术死亡l例，差异无统计学意义，P〉0．05。结果表明，高龄结直肠癌患者行腹腔镜手术治疗安全可行。In order to explore the safety and feasibility of laparoscopic surgery for advanced age colorectal cancer patients, authors retrospectively analysed the data of 132 advanced age colorectal cancer patients （age≥5yr.） who had received limit-time radical operation from july 2006 yr to March 2012 yr. in author＇s department,among whom 68 cases received laparoscopic radical operation for their colorectal cancer（as laparoscope group）, rest 64 cases, traditional open radical surgery（as open abdomen group） ;then their perioperative status were compared and analyzed. As results. I） in the number of removed lymph-nodes there was no statistical differences between laparoscope group and open abdomen group（11. 26士4.35 vs 12.34士 3.85, P 〉0.05）;2） in the time for operation laparoscope group was slightly longer than open abdomen groupE（192.50士 46. 20） min vs （184. 30士 41. 10） mini, but there was no statistical significance （ P 〉0.05）;3） in intraoperative bleeding volume laparoseope group was significantly less than open abdomen group[（107.42士50.32）ml vs （208.46士91.36）ml], P dO. 05 ;4） in the time for recovering gastrointestinal function laparoscope group was significantly shorter than open abdomen group[（2. 09士O. 25）d vs（3.81士0.29）d], P 〈0.05;5） in hospital stay, laparoscope group was significantly shorter than open abdomen groupF（13.78士7.36）d vs （23.16士14.79）d], P 〈0.05;6） in the total incidence of postoperative complications laparoscope group was significantly lower than open abdomen group [10. 29% （7/68） vs 23.44%（15/64）], P 〈0. 05;7） in laparoscope group no death cases were found,in open abdomen group one case died,but there was no statistical differences. Results show that for advanced age colorectal cancer patients,performing laparoscopic surgery is safe and feasible.

关 键 词：结直肠癌 腹腔镜手术 高龄 安全性 

分 类 号：R656[医药卫生—外科学]