腹腔镜与开腹胃癌根治术治疗早期胃癌的临床对照研究

A Clinical Control Study of Laparoscopic Versus Open Radical Gastrectomy for Early Gastric Cancer

目的观察腹腔镜与开腹胃癌根治术治疗早期胃癌的临床效果,进行对比分析。方法选取我院收治的246例患有早期胃癌的患者,其中140例接受腹腔镜胃癌根治术治疗,设为腹腔镜组,106例接受开腹胃癌根治术治疗,设为开腹组。对所有患者的临床资料进行回顾性分析,观察两组患者在手术方式、术中出血量、手术耗时、术后肛门排气、住院时长、术后并发症、病患随访等方面的不同表现。结果在手术耗时、术中出血量、术后住院时间、术后首次肛门排气时间间隔、术后患者首次进食时间间隔上,两组的比较差异P<0.05,具有统计学意义。在术后并发症的出现率两组患者的比较差异均不显著,P>0.05。结论在早期胃癌的治疗中,腹腔镜胃癌根治术具有可靠、微创、疗效好的特点,适于在临床领域得到广泛应用。

Objective Observation of laparoscopic and open radical gastrectomy for gastric cancer treatment of early gastric cancer clinical effect, comparative analysis. Method Select the hospital treated 246 patients with early gastric cancer patients, in which 140 patients received laparoscopic radical gastrectomy for gastric cancer treatment, for the laparoscopic group,106 patients undergoing open radical gastrectomy for gastric cancer treatment, as the open group. For all patients with clinical data were retrospectively analyzed, observes two groups of patients in the operation mode, the amount of bleeding in operation, operation time, postoperative anal exhaust, hospitalization duration, postoperative complications, patient follow-up of the different aspects of performance. Results The operation time, bleeding volume, postoperative hospital stay, postoperative first anal exhaust time interval, postoperative patients for the first time eating time intervals, two groups of comparison between P〈0.05, with statistical significance. In the postoperative complications rate of patients in two groups were not significant difference, P〉0.05. Conclusion In the treatment of early gastric cancer, laparoscopic radical gastrectomy for gastric cancer with reliable, minimally invasive, the characteristics of a good curative effect, suitable for use in clinical areas are widely used.