老年直肠癌患者腹腔镜根治术与开腹根治术比较

[目的]探讨应用腹腔镜技术治疗老年直肠癌患者的可行性和近期临床疗效.[方法]比较2004年1月至2005年4月,20例行腹腔镜手术的老年直肠癌患者(A组),与30例行开腹根治术的老年直肠癌患者(B组)围手术期的临床资料.[结果]两组术中失血量(A＜B)、手术后胃肠功能和排尿功能恢复时间及住院时间(A＜B),手术时间和住院费用(A＞B)均有显著差异(P＜0.05).两组清扫淋巴结数量无差异(P＞0.05).[结论]腹腔镜根治术和开腹根治术治疗老年直肠癌患者在技术上同样安全可靠.腹腔镜技术更具有创伤小、围手术期出血少、手术后恢复快等突出优点,因而对于老年直肠癌患者可能有更好的应用前景.

A Comparison of Laparoscopic and Laparotomy Radical Surgery for Elderly Patients with Rectal Cancer

[Purpose] To investigate the feasibility and short term effects of laparoscopic radical surgery for elderly rectal cancer patient.[Methods]Perioperative clinical data of radical resections were compared between 20 cases undergoing laparotomy radical resection(group A)and 30 cases undergoing open radical resection(group B)from Jan.2004 to Apr.2005.[Results]There were significant difference in intra-operative blood loss(group AB),and the hospitalization cost(group A>B)between the two groups.There was no significant difference in numbers of resected lymph nodes between the two groups.[Conclusion]Both laparoscopic and laparotomy surgery are feasible and safty for elderly rectal carcinoma patients.Laparoscopic surgery with minimal invasive,lesser perioperative blood loss,rapid postoperative recovery might have good application foreground.