胃上部癌不同手术方式对患者术后恢复的影响

Effect of the patient's recovery with different surgical treatment of upper gastric cancer

目的探讨胃上部癌不同手术方式对患者术后恢复的影响。方法选取胃上部癌患者87例,其中近端胃切除术23例,全胃切除术37例,腹腔镜下全胃切除术27例的病例资料作回顾性分析。结果 3组手术时间、术后至出院时间比较均有统计学意义(P<0.05)。术后出现反流症状影响生活及进食者近切组与其他两组均有统计学差异(P<0.05)。3组术后1个月较术前体重下降比较均无统计学意义(P>0.05)。术后重大并发症:近切组2例,全切组2例,腔镜组1例。所有患者均恢复出院,未出现死亡病例。结论全胃切除术术后恢复好于近端胃切除术,腹腔镜辅助下根治性全胃切除术具有创伤性小,恢复快的优点。

Objective The aim of the current study was to explore the different surgical of upper gastric cancer and postoperative recovery of pa-tients.Methods Select 87 cases of upper gastric cancer,23 cases of proximal gastrectomy,37 cases of total gastrectomy and 27 cases of laparoscopic gastrectomy.All cases were analyzed retrospectively.Results Operative time and postoperative time to discharge of 3 groups had significant difference （P 0.05）.Postoperative reflux symptoms of the proximal gastrectomy with other 2 groups were statistically significant （P〈0.05）.1 month after surgery,weight loss of 3 groups has no significant difference （P〈0.05）.Major postoperative complications were 2 cases in recent-cut group,2 cases in full-cut group and 1 case in laparoscopy group.All patients recovered and discharged from hospital,death did not occur.Conclusion Recovery after total gastrectomy is better than that after proximal gastrectomy,and laparoscopic-assisted radical gastrectomy has less invasive and quick recovery advantages.