老年直肠癌患者行腹腔镜与开腹直肠癌根治术的近远期疗效比较  

Comparison of short-and long-term outcomes of laparoscopic with open radical resection for elderly patients with recal cancer

作　　者：黄喆[1] 刘放[1] 

机构地区：[1]辽宁省肿瘤医院大肠科,辽宁省沈阳市110042

出　　处：《实用老年医学》2014年第3期211-213,217,共4页Practical Geriatrics

摘　　要：目的比较腹腔镜根治术和传统开腹根治术对老年直肠癌患者的近远期疗效。方法回顾性分析200例老年直肠癌患者的临床资料,比较腹腔镜根治术与传统开腹手术对直肠癌的近远期疗效。结果 2组患者经治疗后,腹腔镜组患者的近远期疗效与传统开腹手术相当,但在手术切口、术中出血量以及术后排气时间方面,明显优于开腹组(P均<0.01)。结论腹腔镜根治术与传统开腹手术的近远期疗效相当,但创伤更小,值得在临床进一步研究。Objective To compare the clinical efficacy of laparoscopic radical resection and traditional open surgery for elderly patients with recal cancer. Methods The data of 200 elderly patients with reeal cancer were retrospectively analyzed, and the clinical indicators were observed. The short- and long-term outcomes were compared between the two groups. Results There were no significant differences in short- and long-term outcomes between laparoscopic and tradi- tional open surgery. But the indexes of laparoscopic surgery group, such as the surgical incision, intraoperative bleeding volume, postoperative recovery time were better than those in traditional open surgery group （P〈0. 01 ）. Conclusions Laparoscopic surgery shows similar efficacy with traditional open surgery for elderly patients with recal cancer, with less trauma, which is worth of further research.

关 键 词：腹腔镜根治术 开腹根治术 疗效 老年人 

分 类 号：R735.37[医药卫生—肿瘤]