腹腔镜与开腹胃癌根治术对胃癌早期患者的临床疗效对比

The Early Treatment Methods and Effect of Laparoscope and Open Radical Gastrectomy for Gastric Cancer

目的研究两种不同胃癌早期治疗方法及疗效,寻找较优的治疗方案。方法选取湛江中心人民医院收治的360例胃癌早期,根据手术方式不同分为开腹组与腹腔镜组。比较两组患者的手术时间、淋巴结清扫数目、住院时间、疼痛评分及并发症等。结果腹腔镜组手术时间、出血量,术后排气时间、进食时间和住院时间均明显低于开腹组;腹腔镜组VAS评分小于3分的人数明显多于开腹组;腹腔镜组术后并发症的总发生率明显小于开腹组,以上差异均具有统计学意义(P<0.05)。结论开腹胃癌根治术和腹腔镜手术均能够有效地治疗早期胃癌患者,但腹腔镜术后恢复更快,患者生活质量更高,值得临床推广应用。

Objective To study the early treatment methods and effect of two different kinds of gastric cancer,and to discover a better treatment plan. Methods 360 cases of early gastric cancer in our hospital were divided into open group and laparoscopic group according to the operation mode. The operation time,the number of lymph node dissection,length of hospital stay,pain score and complications were compared between the two groups. Results The operation time,bleeding volume,postoperative exhaust time,eating time and hospitalization time were significantly lower than that in the open group,the VAS score which was lower than three in the laparoscopic group was significantly more than that in the open group,the total incidence of complications in laparoscopic group was significantly less than that in the open group,the difference was statistically significant（ P〈0. 05）. Conclusion Open radical gastrectomy and laparoscopic surgery could be effective in the treatment of early gastric cancer patients,but the recovery was faster,the quality of life of patients was higher,it could be worthy of clinical application.