Volume 45 Issue 1
Jan.  2024
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Bo LIU, Qiaolian WU, Quanchang ZHANG. The Effects of the Laparoscopic and Open Surgery on the Postoperative Intestinal Function Recovery Time in Elderly Patients with Colorectal Cancer[J]. Journal of Kunming Medical University, 2024, 45(1): 143-148. doi: 10.12259/j.issn.2095-610X.S20240124
Citation: Bo LIU, Qiaolian WU, Quanchang ZHANG. The Effects of the Laparoscopic and Open Surgery on the Postoperative Intestinal Function Recovery Time in Elderly Patients with Colorectal Cancer[J]. Journal of Kunming Medical University, 2024, 45(1): 143-148. doi: 10.12259/j.issn.2095-610X.S20240124

The Effects of the Laparoscopic and Open Surgery on the Postoperative Intestinal Function Recovery Time in Elderly Patients with Colorectal Cancer

doi: 10.12259/j.issn.2095-610X.S20240124
  • Received Date: 2023-10-10
    Available Online: 2024-01-08
  • Publish Date: 2024-01-25
  •   Objective  To investigate the effects of the laparoscopic surgery and open surgery on the postoperative intestinal function recovery time in elderly patients with colorectal cancer(CRC).   Methods  66 elderly patients with CRC and treated in the 2nd People’ s Hospital of Kunming from January 2021to July 2022 were chosen and divided into the control group(n = 33) and the study group(n = 33) according to different operation ways. And the postoperative bowel function recovery time, radical, complications and surgical index were compared between the two groups.   Results  The recovery time of intestinal function in the study group was significantly shorter than that in the control group(P < 0.05), but there was no significant difference in radical indicators between the two groups(P > 0.05).The incidence of complications in the study group was lower than that in the control group, and the difference was statistically significant(P < 0.05). The operation time of the study group was longer than that of the control group and there was the statistically significant difference(P < 0.05), while the bleeding was less than that of the control group and there was the statistically significant difference(P < 0.05).   Conclusion  Compared with the open surgery, laparoscopic surgery can more effectively shorten the recovery time of postoperative intestinal function, reduce the incidence of complications and intraoperative blood loss in elderly patients with CRC. Although there is no significant difference between two kinds of operation mode in terms of radical, it should be considered when it is applied in the specific operation time and other factors.
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  • [1]
    赵敏,张强,马永慈,等. 云南省肿瘤医院1000例结直肠癌患者临床特征[J]. 昆明医科大学学报,2018,39(5):90-93.
    [2]
    张晓,余先昊. 腹腔镜结直肠癌根治术对老年结直肠癌患者术后胃肠功能恢复的影响[J]. 中国老年学杂志,2021,41(11):2283-2286.
    [3]
    Li Q,Du L,Lu L,et al. Clinical application of enhanced recovery after surgery in perioperative period of laparoscopic colorectal cancer surgery[J]. Journal of Laparoendoscopic & Advanced Surgical Techniques,2019,29(2):178-183.
    [4]
    车河龙,李志晋,王克强,等. 结直肠癌切除术后吻合口出血急诊内镜治疗的疗效分析[J]. 昆明医科大学学报,2022,43(10):122-126.
    [5]
    Palomba G,Dinuzzi V P,Capuano M,et al. Robotic versus laparoscopic colorectal surgery in elderly patients in terms of recovery time: A monocentric experience[J]. Journal of Robotic Surgery,2021,16(4):981-987.
    [6]
    杨锡运,付敏烽,张永广,等. 腹腔镜直肠癌根治术与开腹手术临床安全性的对比[J]. 昆明医科大学学报,2019,40(5):112-116.
    [7]
    安琦,马福海,崔健,等. 80岁及以上结直肠癌患者腹腔镜手术的短期和长期疗效观察[J]. 中华老年医学杂志,2022,41(8):970-974.
    [8]
    Sueda T,Tei M,Nishida K,et al. Evaluation of short-and long-term outcomes following laparoscopic surgery for colorectal cancer in elderly patients aged over 80 years old: A propensity score-matched analysis[J]. International Journal of Colorectal Disease,2021,36(2):365-375. doi: 10.1007/s00384-020-03770-0
    [9]
    柳冉冉,于航娜,董蓓,等. 腹腔镜治疗结直肠癌老年患者术后肠梗阻发生率及影响因素研究[J]. 实用癌症杂志,2021,36(1):112-115.
    [10]
    区栋财. 腹腔镜结直肠癌根治术治疗老年结直肠癌患者对胃肠功能及创伤的影响[J]. 吉林医学,2020,41(10):2369-2370.
    [11]
    王琪,王家启,松涛,等. 腹腔镜微创技术在急诊普外手术中的应用效果[J]. 中国内镜杂志,2019,25(1):26-30.
    [12]
    龙攀,罗斌,陈名明,等. 腹腔镜与开放手术对结直肠癌患者远期预后的效果比较[J]. 实用医院临床杂志,2020,17(2):109-111.
    [13]
    Gu C,Wu Q,Zhang X,et al. Single-incision versus conventional multiport laparoscopic surgery for colorectal cancer: A meta-analysis of randomized controlled trials and propensity-score matched studies[J]. International Journal of Colorectal Disease,2021,36(7):1407-1419. doi: 10.1007/s00384-021-03918-6
    [14]
    李旭杰,徐永强. 腹腔镜对老年结直肠癌患者根治术的临床疗效和并发症的影响[J]. 浙江创伤外科,2022,27(1):28-29.
    [15]
    赵建辉,孙东方,余乐. 腹腔镜手术对结直肠癌患者免疫功能及预后的影响[J]. 癌症进展,2023,21(7):746-749.
    [16]
    王锐,尚静,李雪石. 腹腔镜根治术对老年结直肠癌患者凝血因子、胃肠道功能及肿瘤标志物的影响[J]. 血栓与止血学,2022,28(3):822-824.
    [17]
    Hettiarachchi T S,Askari A,Rudge E,et al. Comparison of robotic vs laparoscopic left-sided colorectal cancer resections[J]. Journal of Robotic Surgery,2023,17(1):205-213.
    [18]
    郭俊杰. 腹腔镜下结直肠癌根治术对老年结直肠癌患者临床疗效和并发症的影响[J]. 基层医学论坛,2023,27(5):43-45.
    [19]
    郑民华,马君俊,潘睿俊,等. 腹腔镜结直肠癌根治手术质量控制要点[J]. 中国实用外科杂志,2022,42(11):1209-1212.
    [20]
    Tominaga T,Nagasaki T,Akiyoshi T,et al. Prognostic nutritional index and postoperative outcomes in patients with colon cancer after laparoscopic surgery[J]. Surgery Today,2020,50(12):1633-1643. doi: 10.1007/s00595-020-02050-2
    [21]
    赵其炯,何永越,王道笃,等. 腹腔镜手术与开腹手术治疗中老年结直肠癌的效果分析[J]. 吉林医学,2021,42(7):1707-1708.
    [22]
    Miguel L,E Silva J C R,Neto O B P,et al. A propensity score-matched case-control study of laparoscopy and laparotomy for endometrial cancer[J]. Rev Assoc Med Bras,2021,67(5):753-758. doi: 10.1590/1806-9282.20210194
    [23]
    江滨. 腹腔镜结直肠癌根治手术治疗老年结直肠癌患者的效果分析[J]. 中国实用医药,2020,15(35):72-73.
    [24]
    司红军,闫齐森,李纲,等. 腹腔镜手术与开腹手术治疗结直肠癌的临床效果评价[J]. 中国现代普通外科进展,2023,26(9):725-726,744.
    [25]
    毛争强,杜波涛,孙航,等. 80岁以上高龄结直肠癌患者腹腔镜与开腹手术的近期疗效与远期生存结局分析[J]. 肿瘤防治研究,2023,50(11):1121-1126.
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