腹腔镜用于胃癌根治术的临床疗效

Clinical Efficacy of Laparoscopic Surgery for Gastric Cancer

目的探讨腹腔镜用于胃癌根治术的可行性、安全性和临床疗效。方法回顾性分析我院2010年4月至2013年2月收治32例经腹腔镜根治的胃癌患者的临床资料,作为实验组;并选取同期开放性胃癌根治术患者32例作为对照组。比较两组患者手术时间、术中流血量、住院时间、术后肠道功能恢复时间、术后并发症发生率及淋巴结清扫数量。结果实验组手术时间长于对照组(P<0.05);实验组住院时间、术中流血量、术后肠道功能恢复时间显著优于对照组(P均<0.05);而两组淋巴结清扫数量无明显差异(P>0.05);实验组并发症发生率为12.50%,对照组为21.89%,组间无明显差异(P>0.05)。结论腹腔镜用于胃癌根治术不仅临床治疗效果好,且具有创伤小、安全性高、恢复快、患者满意度高等优势。

Objective To explore the feasibility, safety and clinical efficacy of laparoscopic surgery for gastric cancer. Methods 32 patients with laparoscopic radical gastric cancer in our hospital from April 2011 to January 2013 were selected as the experimental group; 32 patients undergoing radical gastrectomy in our hospital at the same period were selected as the control group. The clinical data of two groups were analyzed retrospectively to compare the operative time, intraoperative blood loss, hospital stay time, postoperative intestinal function recovery time, incidence of postoperative complication and the dissection number of lymph node. Results The operative time of experiment group was longer than that of control group （P 〈0.05）. The hospital stay time, postoperative intestinal function recovery time and intraoperative blood loss of experimental group were better than those of control group （all P〈0.05）. There was no statistical difference in the dissection number of lymph node between two groups （P 〉0.05）. The incidence of complications was 12.50% and 21.89% in experimental group and control group respectively, with no statistical difference （P〉0.05）. Conclusions Laparoscopic surgery for gastric cancer not only has good clinical outcome, but also has the advantages of less trauma, safe, fast recovery, and high patient satisfaction.