肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2012年
7期
460-462,465
,共4页
老年人%胃肿瘤%腹腔镜检查%外科手术%治疗效果
老年人%胃腫瘤%腹腔鏡檢查%外科手術%治療效果
노년인%위종류%복강경검사%외과수술%치료효과
Aged%Stomach neoplasms%Laparscopy%Surgical procedures, Operative%Treatment outcome
目的 探讨老年胃癌患者手术治疗的安全性及老年胃癌患者腹腔镜手术的可行性.方法 回顾性分析手术治疗的65岁以上老年胃癌患者共104例(其中21例行腹腔镜手术)的临床及病理资料,分析不同年龄组及不同手术方式组围手术期并发症发生率及短期疗效等.结果 ≤75岁患者组(55例)的术前合并疾病发生多于＜ 75岁组(49例)(77例次、40例次)(x2=8.03,P＜0.01),以高血压和糖尿病为主,但术后并发症的发生数两组平均(0.45±0.65)次/例、(0.67±0.92)次/例,差异无统计学意义(U=1208.5,P=0.301).腹腔镜手术组的术前合并疾病、术后并发症、手术时间、术中出血量与开腹手术组相比差异无统计学意义,但腹腔镜手术组较开腹手术组术后住院时间较短及较早进食流质饮食.各组的术后病理情况差异无统计学意义.结论 老年胃癌患者在条件允许的情况下仍应积极行手术治疗,并尽可能按规范范围清扫.腹腔镜手术术后患者肠道功能恢复较快,可缩短住院时间.
目的 探討老年胃癌患者手術治療的安全性及老年胃癌患者腹腔鏡手術的可行性.方法 迴顧性分析手術治療的65歲以上老年胃癌患者共104例(其中21例行腹腔鏡手術)的臨床及病理資料,分析不同年齡組及不同手術方式組圍手術期併髮癥髮生率及短期療效等.結果 ≤75歲患者組(55例)的術前閤併疾病髮生多于＜ 75歲組(49例)(77例次、40例次)(x2=8.03,P＜0.01),以高血壓和糖尿病為主,但術後併髮癥的髮生數兩組平均(0.45±0.65)次/例、(0.67±0.92)次/例,差異無統計學意義(U=1208.5,P=0.301).腹腔鏡手術組的術前閤併疾病、術後併髮癥、手術時間、術中齣血量與開腹手術組相比差異無統計學意義,但腹腔鏡手術組較開腹手術組術後住院時間較短及較早進食流質飲食.各組的術後病理情況差異無統計學意義.結論 老年胃癌患者在條件允許的情況下仍應積極行手術治療,併儘可能按規範範圍清掃.腹腔鏡手術術後患者腸道功能恢複較快,可縮短住院時間.
목적 탐토노년위암환자수술치료적안전성급노년위암환자복강경수술적가행성.방법 회고성분석수술치료적65세이상노년위암환자공104례(기중21례행복강경수술)적림상급병리자료,분석불동년령조급불동수술방식조위수술기병발증발생솔급단기료효등.결과 ≤75세환자조(55례)적술전합병질병발생다우＜ 75세조(49례)(77례차、40례차)(x2=8.03,P＜0.01),이고혈압화당뇨병위주,단술후병발증적발생수량조평균(0.45±0.65)차/례、(0.67±0.92)차/례,차이무통계학의의(U=1208.5,P=0.301).복강경수술조적술전합병질병、술후병발증、수술시간、술중출혈량여개복수술조상비차이무통계학의의,단복강경수술조교개복수술조술후주원시간교단급교조진식류질음식.각조적술후병리정황차이무통계학의의.결론 노년위암환자재조건윤허적정황하잉응적겁행수술치료,병진가능안규범범위청소.복강경수술술후환자장도공능회복교쾌,가축단주원시간.
Objectives To discuss the safety of surgical treatment and the feasibility of laparoscopic surgery for the elderly patients with gastric cancer. Methods The clinical and pathological materials of 104 elderly patients(65 years old or above) undergone surgical treatments retrospectively were analyzed,in order to analysis the postoperative complication incidence and the short-term outcomes in different age groups and different surgical pattern groups. Results There were more preoperative comorbidities in ≥75 years old group than in ＜75 years old group (especially hypertension and diabetes), however, the incidence of postoperative complications was not significantly different. There was no difference of preoperative comorbidities, postoperative complications, surgical time or the amouts of blood loss during surgery between the laparoscopic and the traditional surgical groups, while the laparoscopic groups had short period of postoperative hospitalizing and earlier orally intake of fluid diet. There was also no difference of pathological results.Conclusion The elderly patients with gastric cancer should have surgical treatments if the conditions are permitted, and the areas of dissection should be standard as far as possible. The old patient undergone laparoscopic surgery may have a shorter hospitalized period after operation, because their recovery of bowel function is more quickly.
