Laparoscopic surgery in colon cancer patients with end-stage renal disease
10.3760/cma.j.cn113855-20210412-00242
- VernacularTitle:终末期肾病并发结肠癌患者腹腔镜手术疗效分析
- Author:
Yuanfei SHAN
1
;
Chong WANG
;
Weiqiang WANG
;
Zhijun TAN
Author Information
1. 天津市第一中心医院普通外科 300192
- Keywords:
Colonic neoplasms;
Kidney failure,chronic;
Laparoscopy;
Safety
- From:
Chinese Journal of General Surgery
2021;36(10):762-765
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy and safety of laparoscopic colon cancer surgery for patients with end-stage renal disease .Methods:Thirty-one end-stage renal disease patients (continuous hemodialysis) underwent laparoscopic colon cancer surgery from Jan 2014 to May 2019 in Tianjin First Central Hospital compared to 35 colon cancer patients with normal renal function.Result:Compared with the control group, the operation time in laparoscopic group was longer[(187±20) min vs. (174±21) min, t=2.381, P=0.020], the intraoperative blood loss was more[90 (80-110) ml vs. 50(40-60) ml, Z=-6.580, P<0.001], the postoperative drainage volume was more[(417±89) ml vs.(208±67) ml, t=10.858, P<0.001], the postoperative hospitalization time was longer[(13.68±2.10) d vs.(9.09±1.65) d, t=9.918. P<0.001], and the total hospitalization costs were higher[9.2 (8.8-9.6) ten thousand yuan vs. 6.1 (5.8-6.5) ten thousand yuan, Z=-6.976, P<0.001]. There was no significant difference in overall morbidity between the two group (23% vs. 9%, P=0.170). Sixty-one patients (92%) were followed up for a median time of 6 months. One case of liver metastasis was found in each group. Conclusion:Laparoscopic colon cancer surgery can be a safe and effective procedure in patients with end-stage renal disease .
