Application of laparoscopic-assisted radical gastrectomy in elderly patients
10.3760/cma.j.issn.1008-6706.2014.19.022
- VernacularTitle:腹腔镜辅助胃癌根治术在老年患者中的应用
- Author:
Hongsen TIAN
;
Song HAN
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Radical gastrectomy;
Stomach neoplasms;
Aged
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(19):2940-2941
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application value of laparoscopic-assisted radical gastrectomy in elderly patients.Methods 114 elderly patients with gastric cancer were randomly divided into observation group and control group.55 patients in the observation group received laparoscopic-assisted radical gastrectomy ,59 patients in the con-trol group received traditional open radical gastrectomy .The operation time,blood loss,postoperative ambulation time, postoperative hospital stay and other information were compared .Results The operative time ,blood loss and postop-erative ambulation ,postoperative hospital stay in the observation group were significantly better than those in the con -trol group(t=12.195,8.562,8.072,10.252,all P<0.05).In the observation group,18 patients had marked effect, effective in 33 cases,ineffective in 4 cases,the total effective rate was 92.7%.In the control group,21 cases had marked effect,effective in 34 cases,ineffective in 4 cases,the total effective rate was 93.2%,the difference between the two groups was not significant (χ2 =0.069,P>0.05).Conclusion The efficacy of laparoscopic-assisted radical gastrectomy is similar with traditional open radical gastrectomy ,and laparoscopic-assisted radicalgastrectomy has ad-vantages of minimally invasive ,faster recovery ,especially suitable for elderly patients with gastric cancer .