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目的:观察腹腔镜手术治疗高龄老年直肠癌的效果。方法:选择高龄老年直肠癌46例,随机分为对照组和观察组各23例。对照组采用开腹手术治疗,观察组采用腹腔镜手术治疗。比较两组手术时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、48h盆腔引流量、术后住院时间、术后并发症发生情况以及术后1年、2年、3年以上生存率等。结果:观察组术中出血量、术后肛门排气时间、48h盆腔引流量和术后住院时间均显著或非常显著少(早)于对照组(P<0.05,P<0.01);手术时间非常显著长于对照组(P<0.01);两组术中淋巴结清除数目差异不显著(P>0.05)。两组术后并发症发生率差异不显著(P>0.05)。两组术后1年、2年和3年以上生存率差异不显著(P>0.05)。结论:腹腔镜手术治疗高龄老年直肠癌效果优于开腹手术。
Objective: To observe the effect of laparoscopic surgery on elderly patients with rectal cancer. Methods: 46 elderly patients with rectal cancer were selected and randomly divided into control group and observation group of 23 cases each. The control group was treated by laparotomy and the observation group by laparoscopic surgery. The operation time, intraoperative blood loss, the number of lymph node dissection, postoperative anal exhaust time, pelvic drainage volume at 48h, postoperative hospital stay, postoperative complications and postoperative 1 year, 2 years and 3 years were compared Survival rate and so on. Results: The intraoperative bleeding volume, postoperative anal exhaust time, pelvic drainage and postoperative hospital stay at 48h were significantly (or significantly) less in the observation group (P <0.05, P <0.01) (P <0.01). There was no significant difference between the two groups in the number of lymph node dissection (P> 0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P> 0.05). There was no significant difference in survival rate between two groups at 1 year, 2 years and 3 years (P> 0.05). Conclusions: Laparoscopic surgery is superior to laparotomy in elderly patients with rectal cancer.