开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者的疗效以及安全性对比分析  

Comparative analysis of therapeutic effect and safety between laparoscopic and open radical operation on rectal cancer of gerontal patients

作　　者：黄作勤[1] 潘玉满 邱鹏[1] 

机构地区：[1]广东省汕头市第四人民医院普外科,广东汕头515021

出　　处：《中国现代医生》2014年第22期133-135,共3页China Modern Doctor

摘　　要：目的比较评估开腹直肠癌根治术与腹腔镜直肠癌手术治疗直肠癌老年患者的临床疗效及安全性。方法将本院收入的52例直肠癌老年患者均分成两组,开腹手术治疗26例,腹腔镜手术治疗26例,对两组病人的临床资料进行回顾性分析并且进行随访。结果腹腔镜组的保肛率显著高于开腹组,腹腔镜组的手术时间显著长于开腹组而术后通气时间显著短于开腹组,手术过程中腹腔镜组的出血量显著少于开腹组,差异有统计学意义。两组的住院总时间、淋巴结清扫数目、术后并发症、局部复发率和远处转移率以及1年和2年生存率的差异均无统计学意义。结论腹腔镜治疗术对于大多数直肠癌老年患者是安全可靠的,其疗效与开腹治疗术相近,并且其微创性更值得临床推广。Objective To compare the therapeutic effect and safety between open radical （OR） and laparoscopic operation （LCR） on gerontal patients with rectal cancer. Methods A total of 52 ectalcancer patients were randomlydivided into two groups with 26 patients as LCRgroup, and others as OR group. Follow-up and analyze the results. Results LCR groupanus preserving rate and surgery time were significantly higher than OR group,butpostoperative ventilation time and intraoperative blood loss were much lower than OR group （P〈0.05）. There was no difference in hospitalization time, lymph node cleaning numbers,postoperative complications, local recurrence rate, distant metastasis rate and one ＆ two year survival rate between two groups. Conclusion LCR is safe and reliable for most gerontalpatients,whose effect is similar with OR. Compared with the minimally invasive technique, LCR is more worth spreading in clinical.

关 键 词：开腹根治术 腹腔镜根治术 直肠癌 

分 类 号：R735.3[医药卫生—肿瘤]