腹腔镜胃癌根治术与传统胃癌根治术的临床效果比较

Comparative Study of Clinical Effect of Laparoscopic Radical Gastrectomy and Traditional Open Gastrectomy

目的:比较腹腔镜胃癌根治术与传统胃癌根治术的临床效果。方法:回顾分析2010年10月至2013年10月大理大学附属医院行腹腔镜胃癌根治术及胃癌根治术共103例胃癌患者的临床资料,分析比较两组患者的临床效果。结果:应用腹腔镜组平均出血量为(153.05±11.71)m L,明显少于开腹手术的(278.45±12.65)m L(P<0.05)。腹腔镜组的平均术后恢复肛门排气时间(3.10±0.62)d,低于开腹手术组的(5.58±1.12)d(P<0.05)。腹腔镜组平均术后住院时间为(14.25±2.78)d,明显低于开腹手术的(22.07±3.59)d(P<0.05)。生存率:行腹腔镜手术者1年总生存率94.1%,开腹手术总生存率92.1%(P>0.05)。结论:腹腔镜胃癌根治术具有术中出血少、术后住院天数少、并发症少等优点,治疗效果与开腹手术相当。

Objective： To compare clinical results of gastric cancer patients undergoing laparoscopic radical and traditional open gastrectomy. Methods： The clinical effect of 103 gastric cancer patients undergoing laparoscopic radical gastrectomy and traditional open gastrectomy in Affiliated Hospital of Dali University from October 2010 to October 2013 were summarized and analyzed. Results：Laparoscopic radical gastrectomy resulted in significantly less blood loss volume（153.05±11.71）mL vs.（278.45±12.65）mL,（P〈0.05）, less anal exsufflation time（3.10±0.62）d vs.（5.58±1.12）d,（P〈0.05）, shorter postoperative hospital stay（14.25±2.78）d vs. （22.07 ± 3.59）d,（P〈0.05）and higher survival rate of one year（94.1%vs. 92.1%, P〉0.05）. Conclusion：Laparoscopic radical gastrectomy enjoys advantages like less blood loss volume, less postoperative hospital stays, less postoperative complications and favorable clinical effect comparing with open gastrectomy.