腹腔镜与传统开腹根治术治疗进展期胃癌对比研究

Laparoscope and traditional laparotomy radical resection in treatment of advanced gastric cancer

目的对比腹腔镜与传统开腹根治术治疗进展期胃癌的临床效果。方法设行腹腔镜下根治术治疗且病历资料完整的胃癌进展期患者40例为治疗组,设立同期行传统开腹根治术治疗进展期胃癌40例为对照组,对比2组手术切口长度、术中出血量、手术时间,术后胃肠功能恢复、下床、进食、住院时间,以及术后并发症发生情况。结果治疗组手术切口长度、术中出血量、手术时间均显著低于对照组(P<0.05);治疗组术后胃肠功能恢复、下床、进食及住院时间均显著少于对照组(P<0.05);2组术后并发症发生率比较无统计学意义(P>0.05)。结论进展期胃癌患者采用腹腔镜行胃癌根治术,创伤小,术后恢复快,不会增加术后并发症发生风险。

Objective To compare the clinical effect of laparoscope and traditional laparotomy radical resection in the treatment of advanced gastric cancer. Methods A total of 40 patients with advanced gastric cancer for the laparoscopic radical resection with complete medical records were included in the study and served as the observation group,while 40 cases at the same stage for the traditional laparotomy radical resection were served as the control group. The surgical incision length,intraoperative amount of bleeding,operation time,the time of postoperative gastrointestinal function recovery,out of bed,feeding,and hospitalization,and postoperative complications in the two groups were compared. Results The surgical incision length,intraoperative amount of bleeding,operation time in the observation group were significantly lower than those in the control group（ P〈0. 05）. The time of postoperative gastrointestinal function recovery,out of bed,feeding,and hospitalization in the observation group was significantly less than that in the control group（ P〈0. 05）. The comparison of the occurrence rate of postoperative complications between the two groups was not statistically significant（ P〈0. 05）. Conclusion The laparoscopic radical resection for the advanced gastric cancer patients has advantages of small trauma and rapid postoperative recovery with no increasement of the risk of postoperative complications,and is an effective regimen for treating the advanced gastric cancer.