完全腹腔镜与腹腔镜辅助胃癌根治术的疗效比较

Comparison of curative effect of totally laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer

目的观察完全腹腔镜下胃癌根治术与腹腔镜辅助下胃癌根治术的临床效果，探讨两种方法的可行性与安全性。方法收集2012年4月至2013年4月济源市中医院收治的胃癌患者120例，均采用胃癌根治术，根据选择完全腹腔镜完成手术与否分为观察组（65例）和对照组（55例），对比观察两组患者术后效果并进行统计学分析。结果与对照组相比，观察组术中出血量、术后镇痛药物应用、胃肠功能恢复时间等方面优势明显，差异有统计学意义（P〈0．05）；两组手术时间、术后并发症发生率等比较差异未见统计学意义（P〉0．05）。结论完全腹腔镜下缝合重建的胃癌根治术与腹腔镜辅助胃癌根治术都能很好地完成病变及相关组织的切除任务，但是完全腹腔镜胃癌根治术术后患者所承受痛苦相对较小，恢复较快，有一定经验的外科医师可根据临床实际开展应用。

Objective To observe the clinical effect of totally laparoscopic and laparoscoplc-assisted radical gastrectomy on gastric cancer, and evaluate the feasibility and safety of the two kinds of methods. Methods One hundred and twenty patients with gastric cancer from April 2012 to April 2013 were selected, they all underwent the radical gastric cancer operation. Patients were divided into the observation group （65 cases） and control group （55 cases） according to the therapeutic method. The curative effects of the two groups were observed and statistical analyzed. Results Compared with the control group, the amount of bleeding, use of analgesics postoperative and gastrointestinal function recovery time of the observation group had obvious advantages, the differences were statistically significant （P 〈 0. 05 ）; The operation time, postoperative complication rate between the two group had no significant difference （P 〉 0.05 ）. Conclusions Total laparoscopic and laparoscopic assisted radical gastrectomy for gastric cancer, can complete resect of pathological tissues and relevant organizations, but totally laparoscopic radical gastrectomy for gastric cancer has advantages such as pain less and fast recovery, with a certain amount of surgeons can actual carry out inspection according to clinical application.