早期胃癌腹腔镜手术与传统开腹手术治疗的对比研究

Comparative study of laparoscopic and open surgery in the treatment of early gastric cancer

目的研究腹腔镜手术治疗早期胃癌的临床价值。方法以南华大学附属郴州医院2012年7月至2015年7月收治的早期胃癌患者49例为研究对象,其中23例接受腹腔镜手术治疗(腹腔镜手术组);26例接受传统开腹手术治疗(开腹手术组)。对比观察两组患者的手术时间,切口长度,术中出血量,淋巴结清扫数量,术后排气时间、并发症、住院时长以及治疗效果。结果两组患者一般情况差异无统计学意义(P>0.05),腹腔镜手术组手术时间较传统开腹手术组略长,但手术切口长度、术中出血量、术后肛门排气时间以及术后住院时间均短于传统开腹手术组(P<0.05)。两组所清扫的淋巴结数量、术后并发症发生率以及治疗效果差异无统计学意义(P>0.05)。结论腹腔镜手术治疗早期胃癌相比传统开腹手术具有手术创伤小、术后恢复快等特点,具有传统开腹手术无可比拟的优势及价值,值得临床应用推广。

Objective To contrast and analyze the different effects on early gastric cancer during laparoscopic and laparotomy surgery. Methods 49 cases of early gastric cancer in Affiliated Chenzhou Hospital of University of South China from July 2012 to July 2015 were selected as the study subjects, 23 cases were treated by laparoscopic operation and 26 cases were treated by traditional open surgery. The operation time, amount of bleeding, postoperative complications, postoperative recovery, incision length, postoperative exhaust time and other indicators of the 2 groups were statistically analyzed. Results The general situation of the patients showed no significant difference（ P 〉 0. 05）. The operation time of laparoscopic operation group was slightly longer than that of open surgery group, The incision length, amount of bleeding, postoperative exhaust time and hospital stay were lower than those of the traditional open surgery group. There were significant differences （ P 〈 0.05）. There was no significant difference between the 2 groups on its number of lymph node dissection, complications, and treatment effect （P 〉 0. 05 ）. Conclusions Laparoscopic treatment of early gastric cancer compared to traditional open surgery is minimally invasive, quick recovery and so on. It has incomparable advantages and values, It is worthy of the clinical promotion.