不同分期高龄直肠癌对腹腔镜手术的安全性观察  

Safety of Laparoscopic Surgery for Colorectal Cancer in Different Stages

作　　者：荣军[1] 

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《现代医院》2017年第10期1534-1535,1540,共3页Modern Hospitals

摘　　要：目的观察腹腔镜手术在不同分期高龄直肠癌患者中的安全性。方法选取本院收治的80例高龄直肠癌患者,随机分为观察组(n=40)和对照组(n=40)。对照组采取开放式直肠癌根治术,观察组采取腹腔镜直肠癌根治术。比较两组术中出血量、术后首次排气时间、术后进食时间、住院时间以及不同分期患者的术后并发症发生率。结果观察组术中出血量少于对照组,术后首次排气时间、术后进食时间、住院时间均短于对照组(P<0.05)。两组Ⅰ期患者的并发症总发生率分别为10.00%、44.00%,Ⅲ期患者并发症总发生率分别为14.29%、33.33%,差异均无统计学意义(P>0.05)。观察组Ⅱ期术后并发症总发生率为8.70%,低于对照组40.00%(P<0.05)。结论腹腔镜直肠癌根治术具有微创特点,可减少高龄直肠癌患者的术中出血量、促进术后恢复,且Ⅱ期患者的并发症发生率减少,临床应用价值较高。Objective To observe the safety of laparoscopic surgery in patients with advanced stage of rectal cancer.Methods 80 elderly patients with rectal cancer treated were selected and randomly divided into the observation group and the control group,40 cases in each group. The control group was given open radical resection for colorectal cancer,and the observation group was given laparoscopic radical resection of rectal cancer. The intraoperative blood loss,anal exhaust time for the first time,postoperative fasting time,hospitalization time and the incidence of complications with different staging were compared between two groups. Results The intraoperative blood loss of the observation group was significantly less than the control group,anal exhaust time for the first time,postoperative fasting time,hospitalization time of the observation group were significantly shorter than the control group（ P 〈0. 05）. The overall incidence of complications in two groups was10. 00% and 44. 00% for stageⅠ,and 14. 29% and 33. 33% for stage Ⅲ,and the difference were not statistically significant（ P〉0. 05）. The overall incidence of postoperative complications in patients of stageⅡin observation group was 8. 70%and 40. 00% in the control group（ P 〈0. 05）. Conclusion Laparoscopic radical resection of rectal cancer has the characteristics of minimally invasive,which can reduce the amount of intraoperative blood loss in elderly patients with rectal cancer and promoted postoperative recovery,and Ⅱ patients with reduced incidence of complications,has the high clinical value.

关 键 词：腹腔镜 高龄 直肠癌 耐受性 分期 安全性 

分 类 号：R735.3[医药卫生—肿瘤]