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腹腔镜辅助结直肠癌根治术在90例老年患者中的应用 被引量:10

Application of colorectal cancer radical surgery assisted by laparoscopy in 90 elderly patients
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摘要 目的探讨腹腔镜辅助结直肠癌根治术在老年患者中的应用价值。方法对2010—2013年我院收治的180例结直肠癌老年患者的临床资料进行研究。将90例行腹腔镜辅助结直肠癌根治术的结直肠癌患者作为观察组,将同期行开腹手术治疗的90例结直肠癌患者作为对照组。对两组患者手术情况及术后恢复情况进行对比分析。结果观察组患者的手术时间、术中出血量、淋巴结清扫数目与对照组患者比较,差异无统计学意义(P>0.05);观察组患者术后排气早、下床时间早、术后疼痛评分低,与对照组比较差异有统计学意义(P<0.05)。结论腹腔镜辅助结直肠癌根治术与传统的开腹手术比较,具有创伤小、术后恢复快等优点,且安全、有效,符合肿瘤根治原则。 Objective To study the applied value of colorectal cancer radical surgery assisted by laparoscopy in elderly patients. Methods A total of 180 elderly patients suffering from colorectal cancer admitted to our hospital from Year 2010 to 2013 were enrolled in the study. They were divided into two groups, i.e. trial group and control group (n = 90/group). The trial group was treated with colorectal cancer radical surgery assisted by laparoscopy and the control group with open operation. Results There were no significant differences in operation time, blood loss and lymph node cleaning number between the two group( P 〉 0.05 ). Postoperative exhaust time, get-oil-bed time and postoperative pain score were significantly earlier or lower in the trial group than in the control group ( P 〈 0.05). Conclusion Compared with the traditional method, colorectal cancer radical surgery assisted by laparoscopy has the advantages of small trauma, quick recovery, safety, effectiveness, and is in line with the principle of the cancer radical cure.
作者 孙坚 邓杰
机构地区 解放军第
出处 《临床军医杂志》 CAS 2014年第5期461-462,481,共3页 Clinical Journal of Medical Officers
关键词 腹腔镜 结直肠癌 根治手术 对比研究 laparoscopy colorectal cancer radical surgery contrastive study
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