腹腔镜手术治疗血液透析患者结直肠癌：倾向评分匹配分析。

Laparoscopic Surgery for Colorectal Cancer in Patients on Hemodialysis: A Propensity Score-matched Analysis.

机构信息

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan

Department of Gastroenterological Surgery, Saitama Medical University International Medical Center, Saitama, Japan.

出版信息

Anticancer Res. 2021 Feb;41(2):993-997. doi: 10.21873/anticanres.14853.

DOI:10.21873/anticanres.14853

PMID:33517306

Abstract

BACKGROUND/AIM: Surgery on hemodialysis patients requires special attention, as the tissue of these patients is vulnerable and hemorrhagic. This study explored the feasibility of laparoscopic surgery for colorectal cancer in hemodialysis patients.

PATIENTS AND METHODS

This was a retrospective study of patients who underwent laparoscopic surgery for colorectal cancer in a single institute from April 2007 to December 2016.

RESULTS

A total of 2668 patients were included: 24 (0.9%) were on hemodialysis, and 2644 (99.1%) were not. After 1:1 propensity score matching, there were no significant differences in the short-term postoperative results, the disease-free survival rate (p=0.0813) or the cancer-specific survival rate (p=0.555). However, the overall survival rate was significantly lower in hemodialysis patients than in non-hemodialysis patients (p=0.0135).

CONCLUSION

Standard laparoscopic operative procedures can be safely performed for hemodialysis patients, and there was no marked difference in the long-term oncological outcomes between the two groups.

摘要

背景/目的：血液透析患者的手术需要特别注意，因为这些患者的组织脆弱且易出血。本研究探讨了在血液透析患者中进行腹腔镜结直肠癌手术的可行性。

患者和方法

这是一项对 2007 年 4 月至 2016 年 12 月在一家医院接受腹腔镜结直肠癌手术的患者进行的回顾性研究。

结果

共纳入 2668 例患者：24 例（0.9%）正在进行血液透析，2644 例（99.1%）未进行血液透析。经过 1:1 倾向评分匹配后，两组患者的短期术后结果、无病生存率（p=0.0813）或癌症特异性生存率（p=0.555）无显著差异。然而，血液透析患者的总体生存率明显低于非血液透析患者（p=0.0135）。