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| 老年患者腹腔镜结直肠癌手术的研究 | |
| 引用本文： | 解宏伟,陈宗佑,项建斌,程志俭. 老年患者腹腔镜结直肠癌手术的研究[J]. 临床和实验医学杂志, 2011, 10(17): 1328-1330 |
| 作者姓名： | 解宏伟 陈宗佑 项建斌 程志俭 |
| 作者单位： | 1. 复旦大学附属华山医院普外科,上海,200040;复旦大学附属第五人民医院普外科,上海,200240 2. 复旦大学附属华山医院普外科,上海,200040 3. 复旦大学附属第五人民医院普外科,上海,200240 |
| 摘 要： | 目的探讨老年结直肠癌患者行腹腔镜手术治疗的安全性、根治性、对免疫功能的影响、费用及远期效果。方法分析总结30例腹腔镜组及33例开腹组结直肠癌老年患者的围手术期特点、费用及近期远期疗效。结果腹腔镜组与开腹组肿瘤大小、清扫淋巴结数、病理标本分期无统计学差异(P>0.05),两组病例所有切缘均为阴性。腹腔镜组在平均手术用时、术中出血量、胃肠道功能恢复时间、CD4+/CD8+比值等方面均优于开腹组(P<0.05),并且腹腔镜组住院时间短;而开腹组住院费用低。5年内随访病例61例,腹腔镜手术组发生肿瘤细胞转移的人数与开腹手术组相似。结论对年龄大于70岁的合适的老年结直肠癌患者采用腹腔镜手术是一个优选的外科治疗方法。 |
| 关 键 词： | 老年人 结直肠癌 腹腔镜手术 |
Study on laparoscopic surgery in elderly patients with colorectal cancer |
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| XIE Hong-wei,CHEN Zong-you,XIANG Jian-bin,CHENG Zhi-jian. Study on laparoscopic surgery in elderly patients with colorectal cancer[J]. Journal of Clinical and Experimental Medicine, 2011, 10(17): 1328-1330 | |
| Authors: | XIE Hong-wei CHEN Zong-you XIANG Jian-bin CHENG Zhi-jian |
| Affiliation: | XIE Hong-wei1,2,CHEN Zong-you1,XIANG Jian-bin1,CHENG Zhi-jian2.1 Department of General Surgery,The Huashan Affiliated Hospital of Fudan University,Shanghai 200040,China,2 Department of General Surgery,The Fifth Affiliated Hospital of Fudan University,Shanghai 200240,China. |
| Abstract: | Objective To evaluate the safety,radical effect,influence on immunity,expenses and long term efficacy of laparoscopic colorectal surgery for elderly patients.Methods The features of perioperative period,expenses and short term and long term effect of 30 elderly patients with laparoscopic colorectal surgery were summarized and analyzed,and they were compared with those of 33 elderly cases of colorectal cancer operated by conventional laparotomy.Results There was no statistical difference between patients of ... |
| Keywords: | Eldly Colorectal cancer Laparoscopic surgery |
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