结直肠癌患者腹腔镜手术与开腹手术后并发症的风险因素分析

被引:25
作者
甘露
张超
曾冬竹
蔡志民
靳明林
陈华
机构
[1] 第三军医大学西南医院普通外科
关键词
腹腔镜; 结、直肠手术; 结直肠癌; 术后并发症;
D O I
10.16016/j.1000-5404.2008.17.026
中图分类号
R735.3 [肠肿瘤];
学科分类号
100214 ;
摘要
目的分析腹腔镜结直肠癌手术与开腹手术后并发症的风险因素。方法将收治的344例结直肠癌患者分为腹腔镜手术组(n=170)和开腹手术组(n=174)。入院时对患者的临床一般资料进行统计,同时也对2组手术后的并发症风险因素进行分析。结果手术后并发症的总发病率为26.5%,其中腹腔镜组为18.8%,明显少于开腹组33.9%(P<0.01)。腹腔镜组大肠功能恢复快,且住院时间短。整宗病例的多因素分析发现手术时间、输血是手术后并发症的风险因素。开腹组失血、输血、手术时间、体质量减轻、年龄等与手术后并发症有关;腹腔镜组的风险因素仅仅与手术时间有关。结论腹腔镜手术可避免年龄、输血、失血量等多种风险因素。
引用
收藏
页码:1668 / 1670
页数:3
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