【摘要】：目的:比較老年胃癌患者和非老年患者接受腹腔鏡輔助胃癌根治術(shù)后短期療效、并發(fā)癥發(fā)生情況及長(zhǎng)期生存的差異。方法:回顧性分析2009年4月至2013年10月就診于北京大學(xué)腫瘤醫(yī)院并接受腹腔鏡輔助胃癌根治術(shù)219例患者的臨床資料,比較老年組(≥65歲)與非老年組(65歲)的手術(shù)情況、術(shù)后早期恢復(fù)情況及并發(fā)癥發(fā)生率等,分析無病生存期和總生存期的差異。結(jié)果:老年組術(shù)前ASA評(píng)分和合并癥數(shù)目顯著高于非老年組(P0.05),兩組患者在手術(shù)時(shí)間、術(shù)中出血量、中轉(zhuǎn)開腹率等方面差異無統(tǒng)計(jì)學(xué)意義(均P0.05)。老年組患者手術(shù)后平均首次下地活動(dòng)時(shí)間為(2.2±2.3)d,非老年組為(1.4±1.3)d,差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者之間術(shù)后并發(fā)癥發(fā)生率差異無統(tǒng)計(jì)學(xué)意義(34.8%vs.28.5%,P0.05)。3年無病生存期和總生存期兩組比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),但存在術(shù)后并發(fā)癥的患者中,老年患者總生存率顯著低于非老年患者(44.5%vs.70.5%,P0.05)。結(jié)論:腹腔鏡胃癌根治術(shù)對(duì)老年患者安全可行,并且能夠獲得較好的長(zhǎng)期生存,但仍需加強(qiáng)圍手術(shù)期處理促進(jìn)術(shù)后早期恢復(fù)、減少并發(fā)癥發(fā)生。
[Abstract]:Objective: to compare the short-term efficacy, complications and long term survival of elderly patients with gastric cancer and non-elderly patients undergoing laparoscopic assisted radical gastrectomy. Methods: the clinical data of 219 patients who were admitted to Peking University Oncology Hospital from April 2009 to October 2013 and underwent laparoscopic assisted radical gastrectomy were retrospectively analyzed and compared between the elderly group (鈮，

本文編號(hào)：2264153