老年患者腹腔镜结直肠癌根治术近期疗效分析

目的 评价老年患者腹腔镜结直肠癌手术的住院时间与近期并发症.方法 检索 2000 年至 2013 年国内外临床中心公开发表的结直肠癌腹腔镜与开腹根治术近期并发症的非随机对照研究（ Non-randomized comparative studies,NRCs ）文献,提取相关指标后综合分析.结果 腹腔镜与开腹治疗的患者基本特征均衡.尿路感染发生率、吻合口瘘发生率与开腹组相比,差异无统计学意义（P = 0.79、P = 0.31 ）.切口感染、肺部感染、肠梗阻、心血管疾病及术后住院时间与开腹组根治术相比,差异存在统计学意义.腹腔镜组中术后近期总并发症发生率小于开腹组,差异存在统计学意义（ P ＜ 0.01 ）.结论 非随机对照研究资料研究显示,老年患者腹腔镜结直肠癌根治具有术后近期并发症发生率低、住院时间短的优势,可以考虑作为老年患者结直肠癌根治术的首选方法.

The recent curative effect analysis of the elderly patients with laparoscopic colorectal cancer resection

Objective To evaluate the length of hospital stay and recent complications of laparoseopic surgery （LS） and open surgery （OS） for colorectal cancer. Methods Non-randomized controlled trials （NRCs） reports on LS and OS for coloreetal cancer published from 2000 to 2013 both home and abroad were retrieved and relevant clinical effect indexes extracted for meta-analysis. Results The basic characteristics of patients in laparoscopic resection group were similar to those in open surgery group. There was no statistically significant difference on the incidence of urinary tract infection and the incidence of anastomotic fistula compared with OS （P = 0.79, P = 0.31）. There was statistically significant difference, compared with OS, incision infection, lung infection, intestinal obstruction, and cardiovascular disease and postoperative length of hospital stay. LS in the near future total complication rate was less than OS, difference has statistical significance （P 〈 0.01）. Conclusion NRCs studies suggested that LS had the advantage of low incidence of complications, shorter hospitalization time, and can be considered as a surgical method of choice for elderly patients,