摘要
目的对完全腹腔镜与腹腔镜辅助胃癌根治术的近期临床疗效进行探究。方法回顾性分析齐齐哈尔市公安医院2020年5月至2021年5月采用完全腹腔镜与腹腔镜手术治疗的80例胃癌患者的资料,采用完全腹腔镜手术治疗为观察组(n=40),采用腹腔镜手术治疗为对照组(n=40),对比观察两组患者术后效果并进行统计学分析。结果观察组患者的术后第1天、第2天、第3天的视觉模拟评分法(visual analogue scale,VAS)评分均高于对照组患者(P<0.05);观察组患者首次排气时间、并发症发生率、腹部切开长度以及术后首次流质饮食时间均显著优于对照组患者(P<0.05);对照组患者的手术时间显著短于观察组患者(P<0.05);两组患者术后镇痛药应用率及术中清扫淋巴结数目无显著差异(P>0.05)。结论与腹腔镜相比,完全腹腔镜辅助手术的手术时间虽然较长,但其首次排气时间与首次流质饮食时间更短,更有利于患者早期康复,可以在临床中选择性运用。
Objective To explore the short-term clinical efficacy of total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer.Method The data of 80 patients with gastric cancer treated by complete laparoscopic surgery and laparoscopic surgery in Qiqihar Public Security Hospital from May 2020 to May 2021 were retrospectively analyzed.The patients were treated by complete laparoscopic surgery as the observation group(n=40),and the patients were treated by laparoscopic surgery as the control group(n=40).The postoperative effects of the two groups were compared and statistically analyzed.Result The VAS scores of patients in the observation group were higher than those of patients in the control group at 1,2 and 3 days after operation(P<0.05);The first scheduling time,the incidence of complications,the length of abdominal incision and the first postoperative fluid diet time in the observation group were significantly better than those in the control group(P<0.05);The operation time of patients in the control group was significantly better than that of patients in the observation group(P<0.05);There was no significant difference in the number of lymph nodes and application of analgesics,between the two groups(P>0.05).Conclusion Compared with laparoscopy,although the operation time of complete laparoscopic assisted surgery is longer,its first scheduling time and the first liquid diet time are shorter,which is more conducive to the early rehabilitation of patients and can be selectively used in clinical practice.
作者
魏鑫
千雷
WEI Xin;QIAN Lei(General Surgery Department of Qiqihar Public Security Hospital,Heilongjiang Qiqihar 161005,China)
出处
《临床普外科电子杂志》
2023年第1期33-36,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
完全腹腔镜
腹腔镜辅助胃癌根治术
临床疗效
Complete laparoscopy
Laparoscopic assisted radical gastrectomy for gastric cancer
Clinical efficacy
