腔镜手术治疗结直肠癌老年患者的临床疗效

目的探讨腔镜手术治疗结直肠癌老年患者的临床疗效。方法对我院143例腔镜结直肠癌切除术患者的临床资料进行分析,以75岁年龄为界分组,其中观察组(大于或等于75岁)47例,对照组(小于75岁)96例,比较2组患者一般情况、术中指标及术后并发症发生率,探讨发生并发症的危险因素。结果 2组患者在手术时间、淋巴结清扫数目、手术切缘长度、严重并发症发生、住院时间及术后30 d死亡率没有统计学意义的差别(P0.05)。观察组总并发症发生率比对照组高,差异有统计学意义(P0.05)。年龄大于或等于75岁和手术时间超过350 min是术后总并发症增多的危险因素(P0.05),手术时间超过350 min和合并糖尿病是严重并发症发生的危险因素。结论只要严格选择病例,手术前后注意监测并积极处理合并症,熟练操作,腔镜手术治疗结直肠癌老年患者是安全可行的。

Clinical curative effect analysis on laparoscopic colorectal resection for elderly patients with colorectai cancer

Objective To investigate the clinical curative effect of endoscopic surgery for elderly patients with colorectal cancer. Meth- ods 143 patients underwent laparoscopic colorectal resection were divided into the observation group （n = 47, ≥75 years） and the control group （n = 96, 〈 75 years） according to their age. Compared the general situation,intraoperative indicators, and postoperative complications of the two groups and explored the risk factors of complications. Results There was no significant difference in operation time, number of lymph node dissection, operation margin length, severe complications, hospitalization days and mortality of 30 days after operation （ P 〉 0.05 ）. The total complication rate of observation group was higher than that of the control group with a statistically significant difference （P 〈 0.05）. Patients over 75 years old and operation time more than 350 minutes are risk factors of complications （P 〈 0.05 ）. Operation time more than 350 minutes and diabetes were the risk factors of complications. Conclusion Laparoscopic colorectal resection for elderly pa- tients is safe and feasible, as we selecting patients strictly, paying attention to monitor, dealing with complications actively, and operating oper- ation skillfully.