摘要
目的探究腹腔镜与开腹胃癌根治术在进展期胃癌治疗中的疗效。方法选取2012年3月至2016年2月来本院就诊的进展期胃癌患者63例,按照治疗方式的不同将其分成腹腔镜组(32例)和开腹组(31例)。腹腔镜组患者采用腹腔镜胃癌根治术治疗,开腹组患者采用开腹胃癌根治术治疗,观察并比较两组患者的术中出血量、手术时间、住院时间、排气时间及术后并发症发生情况等。结果两组患者手术时间比较,差异无统计学意义(P>0.05),腹腔镜组患者术中出血量明显少于开腹组患者,差异有统计学意义(P<0.05)。腹腔镜组患者的排气时间和住院时间明显短于开腹组患者,差异有统计学意义(P<0.05)。腹腔镜组患者术后感染、胃无力症、粘连等并发症发生率明显少于开腹组患者,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术治疗进展期胃癌,其具有术中出血量少、排气时间短及术后并发症少等优势,有利于进展期胃癌患者的康复,具有极大的推广价值,应大力推广。
Objective To explore the curative effect of laparoscopic surgery and open radical gastrectomy in the treatment of advanced gastric cancer. Methods Sixty-three patients with advanced gastric cancer in our hospital from March 2012 to January 2016 were selected. According to the different treatment methods, they were divided into laparoscopy group with 32 cases and open surgery group with 31 cases. The laparoscopy group was treated with laparoscopic radical gastrectomy, while the open surgery group was treated with open radical gastrectomy. The amount of intraoperative bleed- ing, time of operation, length of stay, exhaust time and incidence of postoperative complications were observed and compared in the two groups. Results There was no significant difference in operation time between the two groups （P〉0.05）. The amount of intraoperative bleeding of laparoscopy group was significantly less than that of the open surgery group （P〈0.05）. The exhaust time and length of stay in the laparoscopy group were significantly shorter than those in the open surgery group （P〈0.05）. The incidences of postoperative infection, gastric atony and adhesions in the laparoscopy group were significantly lower than those in the open surgery group （P〈0.05）. Conclusion Laparoscopic radical gastrectomy for gastric cancer has less bleeding, less exhaust time and less postoperative complications, and it is conducive to the rehabilitation of patients with advanced gastric cancer. It has a great value, which should be vigorously promoted.
出处
《临床医学研究与实践》
2017年第19期45-46,共2页
Clinical Research and Practice
关键词
腹腔镜胃癌根治术
开腹胃癌根治术
进展期胃癌
laparoscopic radical gastrectomy
open radical gastrectomy
advanced gastric cancer
