伴呼吸功能障碍的结直肠癌患者腹腔镜治疗的可行性分析

 目的　探讨伴呼吸功能障碍的结直肠癌患者接受腹腔镜治疗的可行性。方法　总结2007年8月至2009年11月收治的伴呼吸功能障碍的结直肠癌患者64例。遵循肿瘤根治原则，36例接受腹腔镜手术，28例行常规开腹手术。结果　腹腔镜组术后吸氧时间平均3.5 d，开腹组平均4.6 d（P＜0.05）；自主咳痰能力优于开腹组（P＜0.05）；腹腔镜组术后气管插管拔除时间平均21.2 min、开腹组平均23.9 min，差异无统计学意义（P＞0.05）；两组患者术后血氧饱和度波动范围腹腔镜组略优于开腹组，但差异无统计学意义（P＞0.05）；开腹组肺部感染1例，两组患者均无肺不张、呼吸衰竭及泌尿系感染病例。结论　伴呼吸功能障碍的结直肠癌患者适合应用腹腔镜手术治疗。

The feasibility of laparoscopic radical resection for colorectal cancer in patients with respiratory dysfunction

Objective To investigate the feasibility of laparoscopic radical resection for colorectal cancer in patients with respiratory dysfunction. Methods A total of 64 patients with colorectal cancer with respiratory dysfunction simultaneously admitted in our hospital. Following the principles of en-bloc resection, thirty-six patients underwent laparoscopic radical resection, and 28 underwent open resection. Results The time of postoperative oxygen inhalation was shorter in laparoscopic group than that in open resection group (3.5 d vs 4.6 d) (P<0.05), and independently expectorating was better in laparoscopic group than that jn open resection group (P <0.05). The time to endotracheal intubation removal (21.2 min vs 23.9 min) and oxygen saturation were no significant difference between laparoscopic group and open resection group. One case got lung infection in open resection group, both groups had no atelectasis, respiratory failure and urinary infections case. Conclusion Laparoscopic surgery is feasible for colorectal cancer in patients with respiratory dysfunction.