腹腔镜与开腹手术治疗早期胃癌临床效果对比观察

目的:对比分析腹腔镜与开腹手术治疗早期胃癌临床效果。方法:随机选取在我院治疗的胃癌患者80例,其中行腹腔镜辅助下全胃切除术患者36例为腹腔镜组,行开腹全胃切除术44例为开腹组。统计两组患者的手术时间、切口长度、术后进食时间等一系列指标,对结果进行对比。结果:两组患者术后效果理想,虽然平均手术时间腹腔镜组(241.45±46.42分钟)多于开腹组(194.52±32.75分钟),但腹腔镜组的手术切口长度、切口感染率、术中出血等数据均较低。两组的淋巴结清扫数、呼吸系统感染率等数据差异无统计学意义。结论:腹腔镜辅助下全胃切除术和开腹全胃切除术治疗早期胃癌均有良好效果,腹腔镜有显著的安全性和微创性,值得临床大力推广。

Objective： Contrast and analyses the different effects on stomach cancer during laparoscopic and laparotomy surger. Methods ： Selected 80 patients who had stomach cancer in our hospital, of which total gastrectomy assisted by laparoscopic in 36 cases as laparoscopic group, open total gastrectomy in 44 cases as the open group. Statistic two sets of operation time, the length of the incision, postoperative eating time and other indicators, the results were compared. Results： The two groups of patients all have ideal effects, although the average operation time of laparoscopic group （ 241.45 ± 46. 42 minutes ） is longer than the open group （ 194. 52 ± 32. 75 minutes ）, but the laparoscopic group＇ s operation length of incision, infection of incision, bleeding and other indicators are lower. Two groups of dissected lymph node, respiratory system infection rate had no statistically significant difference. Conclusions： Laparoscopie has significant safety and minimally invasive with good effectiveness. It is worthy the clinical promotion.