胃癌腹腔镜根治性全胃切除术的临床分析

Clinical Analysis of Laparoscopic Radical Total Gastrectomy for Gastric Cancer

目的 观察胃癌患者腹腔镜根治性全胃切除术的安全性及疗效情况。方法 分析盐城市第一人民医院2020年8月至2022年8月实施的68例胃癌手术患者的临床资料。34例实施开腹手术患者纳入对照组,34例实施腹腔镜手术患者纳入观察组,对比两组术中及术后临床指标。结果 相比较对照组,观察组切口长度较短、术中出血量较少、术后排气时间和住院时间更短、住院费用更高(P<0.05)。两组清扫淋巴结数目、手术时长、术后并发症发生率比较,差异无统计学意义(P>0.05)。结论 胃癌根治性全胃切除术行腹腔镜相比开放手术切口小、出血量少,术后恢复快,住院时间少,手术根治术效果及并发症无明显差异,费用相对更高。

Objective To observe the safety and efficacy of laparoscopic radical total gastrectomy for gastric cancer patients.Methods To analyze the clinical data of 68 gastric cancer surgery patients in the First People's Hospital of Yancheng City from August 2020 to August 2022.34 patients who underwent open surgery were included in the control group,and 34 patients who underwent laparoscopic surgery were included in the observation group,and to compare the intra-operative and post-operative clinical indexes of the two groups.Results Compared with the control group,the observation group had a shorter incision length,less intraoperative bleeding,shorter postoperative ventilating time and hospitalization time,and higher hospitalization cost(P<0.05).Comparison of the number of cleared lymph nodes,duration of surgery,and incidence of postoperative complications between the two groups showed no statistically significant difference(P>0.05).Conclusions Radical total gastrectomy for gastric cancer was performed laparoscopically compared with open surgery with smaller incision,less bleeding,quicker postoperative recovery,less hospitalization time,no significant difference in the results and complications of radical surgery,and relatively higher cost.