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中华普外科手术学杂志(电子版) ›› 2018, Vol. 12 ›› Issue (03) : 258 -260. doi: 10.3877/cma.j.issn.1674-3946.2018.03.023

所属专题: 文献

论著

中青年和老年结肠癌患者行腹腔镜下根治术的疗效差异比较
田彬1,(), 王绍华1, 傅忠文1, 李洋1, 陈华2   
  1. 1. 641400 四川简阳,简阳市人民医院胃肠外科
    2. 400038 重庆西南医院胃肠外科
  • 收稿日期:2017-07-25 出版日期:2018-06-26
  • 通信作者: 田彬

Curative effect of young-middle-aged and elderly patients with colon cancer underwent laparoscopic surgery

Bin Tian1,(), Shaohua Wang1, Zhongwen Fu1, Yang Li1, Hua Chen2   

  1. 1. Department of gastrointestinal surgery, Jianyang People’s Hospital, Sichuan 641400
    2. Department of gastrointestinal surgery, Southwest Hospital, Chongqing 400038
  • Received:2017-07-25 Published:2018-06-26
  • Corresponding author: Bin Tian
  • About author:
    Corresponding author: Tian Bin, Email:
引用本文:

田彬, 王绍华, 傅忠文, 李洋, 陈华. 中青年和老年结肠癌患者行腹腔镜下根治术的疗效差异比较[J/OL]. 中华普外科手术学杂志(电子版), 2018, 12(03): 258-260.

Bin Tian, Shaohua Wang, Zhongwen Fu, Yang Li, Hua Chen. Curative effect of young-middle-aged and elderly patients with colon cancer underwent laparoscopic surgery[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2018, 12(03): 258-260.

目的

探索中青年和老年结肠癌患者行腹腔镜下根治术的疗效。

方法

选取2012年1月至2014年2月中青年和老年结肠癌确诊患者各60例,分为中青年组和老年组,进行腹腔镜下根治术,其中中青年组患者中28例进行左半结肠切除术,32例进行右半结肠切除术;老年组患者中24例行左半结肠切除术,36例行右半结肠切除术,采用SPSS 18.0版统计学软件进行分析,术中术后相关指标以均数±标准差表示,组间比较采用t检验;术后并发症发生率采用χ2检验;以P<0.05表示差异具有统计学意义。

结果

中青年组和老年组患者进行左半切结肠切除术的并发症发生率分别为7.1%(2/28)、8.3%(2/24), P>0.05;两组患者随访2年的复发率、近端转移率差异无统计学意义;右半切除术的并发症发生率分别为15.6%(5/32)、33.3%(12/36),差异有显著统计学意义(P<0.05),结果表明中青年组右半结肠切除术患者术后并发症发生率明显低于老年组。

结论

不同年龄段结肠癌患者进行右半结肠切除术的术后并发症发生率均明显高于左半结肠切除术,但中青年患者术后并发症发生率明显低于老年患者。

Objective

To explore the curative effect of laparoscopic radical resection of colon cancer for young-middle-aged and elderly patients.

Methods

From January 2012 to February 2014, young-middle-aged and elderly-aged patients with colon cancer underwent laparoscopic colectomy were enrolled and 60 cases were divided into each groups. 28 patients in young-middle-aged group received left hemicolectomy and 32 cases underwent right hemicolectomy; 24 cases in Elderly group received left hemicolectomy, and 36 cases underwent right hemicolectomy. Statistical analysis were performed by using SPSS 18.0 software, intraoperative related indicators and the postoperative indicators were presented as (±s) and were examined by using t test; Count data was examined by using chi square test. P<0.05 was considered as significant difference.

Results

The complication rates of patients received left hemicolectomy in the young-middle-aged group and elderly group were 7.1% (2/28) and 8.3% (2/24), with no significant difference between 2 group P>0.05.There was no significant difference in terms of 2 years recurrence rate and proximal metastasis rate within follow-up period between two groups. The complication rates of two groups underwent right-laparoscopic surgery were 15.6% (5/32) and 33.3% (12/36) respectively, with significant difference P<0.05. There was no significant difference of the incidence of postoperative complications between 2 groups received left hemicolectomy. However, the postoperative complication rates of young-middle-aged group received right hemicolectomy was significantly lower than that of elderly group.

Conclusion

The incidence of postoperative complications of different aged patients underwent right hemicolectomy is significantly higher than left-hemicolectomy, and complication rate of young-middle-aged patients is significantly lower than that of elderly patients.

表1 120例结肠癌患者不同手术方式两组患者临床基线数据的比较(±s)
表2 120例结肠癌患者不同年龄段两组患者手术基本情况比较(±s)
表3 120例结肠癌患者不同年龄段两组患者术后并发症发生率比较(例)
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