手术时间和术前并发症是老年人腹腔镜胃癌根治术后并发症的独立危险因素

2012-06-23 小哲 摘编 医学论坛网

  近日,福建医科大学附属协和医院胃外科孟春燕、林建贤、黄昌明等人共同发表论文,旨在探讨腹腔镜辅助胃癌根治术在老年胃癌患者中应用的可行性及临床疗效。研究指出,老年人腹腔镜辅助胃癌根治术能够达到与开腹手术相同的根治效果,且具有明显的微创优势。手术时间和术前并发症是老年人腹腔镜胃癌根治术后并发症的独立危险因素。该文发表在2012 年第15卷第2期《中华胃肠外科杂志》上。   2007年1月

  近日,福建医科大学附属协和医院胃外科孟春燕、林建贤、黄昌明等人共同发表论文,旨在探讨腹腔镜辅助胃癌根治术在老年胃癌患者中应用的可行性及临床疗效。研究指出,老年人腹腔镜辅助胃癌根治术能够达到与开腹手术相同的根治效果,且具有明显的微创优势。手术时间和术前并发症是老年人腹腔镜胃癌根治术后并发症的独立危险因素。该文发表在2012 年第15卷第2期《中华胃肠外科杂志》上。

  2007年1月至2009年12月期间,福建医科大学附属协和医院胃外科对255例年龄在65岁以上的老年胃癌患者施行D2根治术,其中行腹腔镜辅助胃癌根治术患者(腹腔镜组)116例,行常规开腹手术患者(开腹组)139例。比较两组患者术中、术后恢复、并发症发生及术后生存情况,并对术后并发症的危险因素进行分析。

  腹腔镜组术中出血量和术中输血例数均少于开腹组,术后排气时间、进食流质时间和住院时间均短于开腹组,差异均有统计学意义;而两组患者手术时间和淋巴结清扫数目的差异无统计学意义。腹腔镜组术后并发症发生率为15.5%,明显低于开腹组的28.1%。是否行腹腔镜手术、手术时间和术前并发症是老年人胃癌术后并发症的独立危险因素;手术时间和术前并发症是老年人腹腔镜辅助胃癌根治术后并发症的独立危险因素。腹腔镜组和开腹组患者术后平均生存时间分别为23.0和22.5个月,差异无统计学意义。
    

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    2012-11-06 丁鹏鹏
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    2012-06-25 jeanqiuqiu

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