Clinical Efficacy of Laparoscopic Radical Resection for Colorectal Cancer in Elderly Patients with Colorectal Cancer Complicated by Bowel Obstruction

TAN Zhengmin; LUO Sufang

doi:10.13919/j.issn.2095-6274.ZHJY202408018

Abstract：Objective To analyze the efficacy of laparoscopic radical resection for colorectal cancer in el-derly patients with colorectal cancer complicated by intestinal obstruction.Methods A retrospective analysis was conducted on the clinical data of 68 elderly patients with colorectal cancer and intestinal obstruction who were treated at Daozhen County People's Hospital from January 2020 to January 2024.The patients were divided into a laparoscopic colorectal cancer radical resection group(observation group,n=34)and an open colorectal cancer radical resection group(control group,n=34).Clinical efficacy,intraoperative indicators,postoperative recovery,and the incidence of complications were compared between the two groups.Results In the observation group,32 cases were effective(94.12％),which was significantly higher than the 24 effective cases in the control group(70.59％)(P=0.011).The observation group had significantly lower intraoperative blood loss(P＜0.001)and shorter incision length(P＜0.001)compared to the control group.There were no significant differences between the obser-vation group and the control group in terms of operative time(P=0.317)and the average number of lymph nodes dissected(P=0.383).The observation group also had significantly shorter postoperative ventilation time(P＜0.001),time to first oral intake(P＜0.001),and hospital stay(P＜0.001)compared to the control group.There were no sig-nificant differences between the two groups in terms of urinary catheter retention time(P=0.389),drainage tube retention time(P=0.378),and sphincter preserva-tion rate(P=0.583).The incidence of complications in the observation group was 11.76％(4 cases),which was significantly lower than the 35.29％(12 cases)in the control group(P=0.022).Conclusion For elderly patients with colorectal cancer complicated by intestinal obstruction,laparoscopic radical resection of colorectal cancer not only provides significant clinical efficacy but also reduces intraoperative blood loss,shortens incision length,and decreases postoperative ventilation time,time to first oral intake,hospital stay,and the incidence of complications.