首页|腹腔镜结肠癌根治术对老年结肠癌患者胃肠功能与并发症的影响

腹腔镜结肠癌根治术对老年结肠癌患者胃肠功能与并发症的影响

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目的 观察腹腔镜结肠癌根治术在老年结肠癌患者中的应用效果.方法 回顾性选取2020年1月—2022年10月山东省枣庄市立医院收治的102例老年结直肠癌患者的临床资料.按不同手术方式分为观察组(实施腹腔镜结肠癌根治术)和对照组(实施开腹结肠癌根治术),各51例.术后对比两组患者手术相关指标、并发症发生率和胃肠功能恢复时间.结果 两组患者手术时间比较,差异无统计学意义(P>0.05).观察组术中出血量少于对照组,下床时间、住院时间、肠胃功能恢复时间均短于对照组,并发症发生率低于对照组,差异有统计学意义(P均<0.05).结论 对老年结肠癌患者实施腹腔镜结肠癌根治术,可减轻应激反应,减少术中出血量,缩短胃肠功能恢复时间,降低并发症发生率,安全性良好.
Effects of Laparoscopic Radical Resection of Colon Cancer on Gastrointes-tinal Function and Complications in Elderly Patients with Colon Cancer
Objective To observe the effect of laparoscopic radical resection of colon cancer in elderly patients with colon cancer.Methods The clinical data of 102 elderly patients with colorectal cancer treated in Zaozhuang Munici-pal Hospital of Shandong Province from January 2020 to October 2022 were retrospectively selected.There were 51 cases in each observation group(laparoscopic radical resection of colon cancer)and control group(laparotomy radical resection of colon cancer).Postoperative indexes,complication rate and gastrointestinal function recovery time were compared between the two groups of patients.Results There was no statistically significant difference in operation time between the two groups(P>0.05).The amount of bleeding in the observation group was less than that in the con-trol group,the time of getting out of bed,hospitalization time and recovery time of gastrointestinal function were shorter than those in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(all P<0.05).Conclusion Laparoscopic radical resection of colon cancer in elderly patients can reduce the stress reaction,reduce the amount of bleeding,shorten the recovery time of gastrointes-tinal function,reduce the incidence of complications,and have good safety.

LaparoscopyRadical resection of colon cancerColon cancerGastrointestinal functionComplication

陈钦伟、杨峰

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山东省枣庄市立医院胃肠外科,山东枣庄 277100

腹腔镜 结肠癌根治术 结肠癌 胃肠功能 并发症

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(5)
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