OrVil在老年腔镜胃癌手术的应用

Application of OrVil in laparoscopic gastric cancer operation of aged people

目的观察在老年腔镜胃癌手术中使用OrVil的安全性和临床效果。方法将27例老年胃癌患者随机分为观察组14例和对照组13例,对照组采用传统方式完成腔镜辅助胃癌根治术,观察组全胃切除及淋巴清扫同对照组,在消化道重建时使用OrVil TM,比较两组各项手术指标和术后恢复情况。结果观察组手术时间少于对照组,差异有统计学意义(P<0.05),两组术中出血量和淋巴结清扫数目差异无统计学意义(P>0.05),而贲门癌患者中观察组的食管切除长度高于对照组,差异有统计学意义(P<0.05)。观察组术后引流管留置时间、肛门排气时间和术后住院时间少于对照组,差异有统计学意义(P<0.05),而腹腔引流量和并发症发生率两组差异无统计学意义(P>0.05)。结论在老年腔镜胃癌手术中使用OrVil安全性好,能缩短手术时间,加速术后恢复,适合在各级医院推广。

Objective To observe the safety and clinical effect of using OrVil in laparoscopic gastric cancer op‐eration of aged people .Methods 27 elderly patients with gastric cancer were randomly divided into the observation group（14 cases） and the control group（13 cases） .The control group adopted the traditional laparoscopic radical cor‐rection of gastric cancer ,while the observation group adopted the total gastrectomy and lymph node dissection as con‐trast group ,but in the digestive tract reconstruction ,OrVilTM was used .The various operation indexes and postopera‐tive recovery situation were compared between the two groups .Results The operation time in the observation group was less than that in the control group ,the difference was statistically significant（P〈 0 .05） .The intraoperative bleeding volume and lymph nodes clearing number had no statistical differences between the two groups（P〉0 .05） . The resected esophageal length in the patients with cardiac cancer was higher than that in the control group with sta‐tistical difference（P〈0 .05） .The postoperative drainage time ,anal exhausting time and postoperative hospitalization time in the observation group were less than those in the control group ,the differences were statistically significant （P〈0 .05） .But peritoneal drainage volume and the occurrence rate of complications had no statistical differences be‐tween the two groups（P〉0 .05） .Conclusion Using OrVilTM has good safety in the elderly laparoscopic gastric canc‐er operation ,can shorten the operation time ,accelerate the postoperative recovery ,and is suitable to be popularized in various levels hospitals .