老年结肠癌单切口腹腔镜右半结肠切除术的结果
the outcome of single-incision laparoscopic right colectomy for colon carcinoma in the elderly.
作者信息
Hirano Yasumitsu, Hattori Masakazu, Sato Yoshiki, Maeda Kazuya, Douden Kenji, Hashizume Yasuo
机构信息
Department of Surgery, Fukui Prefectural Hospital, Fukui, Japan.
出版信息
Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):338-40. doi: 10.1097/SLE.0b013e318254c64d.
PURPOSE
Surgeons are increasingly being faced with the problem of treating elderly colon cancer patients. The purpose of this study was to elucidate the feasibility of single-incision laparoscopic surgery for these patients.
METHODS
Among 34 right colon cancer patients treated with single-incision laparoscopic surgery procedure between August 2010 and September 2011, 9 (26.5%) were aged 80 or over. The results of treatment in this elderly group were compared retrospectively with those in 10 younger colon cancer patients (age, 59 to 67 y; control group, 29.5%).
RESULTS
The sex distribution, body mass index, and the tumor location were similar between the groups. The elderly had a higher incidence of preoperative risk factors (77.7% vs. 40.0%; P=0.17). However, operative time and estimated blood loss were similar and postoperative complications had not occurred in both groups.
CONCLUSIONS
We believe that single-incision laparoscopic colectomy can be carried out safely in elderly patients with colon cancer.
目的
外科医生越来越多地面临治疗老年结肠癌患者的问题。本研究的目的是阐明单孔腹腔镜手术治疗这些患者的可行性。
方法
在2010年8月至2011年9月间接受单孔腹腔镜手术治疗的34例右半结肠癌患者中，9例（26.5%）年龄在80岁及以上。将该老年组的治疗结果与10例较年轻的结肠癌患者（年龄59至67岁；对照组，29.5%）的治疗结果进行回顾性比较。
结果
两组之间的性别分布、体重指数和肿瘤位置相似。老年人术前危险因素的发生率较高（77.7%对40.0%；P = 0.17）。然而，手术时间和估计失血量相似，两组均未发生术后并发症。
结论
我们认为，老年结肠癌患者可以安全地进行单孔腹腔镜结肠切除术。
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