腹腔镜辅助进展期胃癌根治手术的临床疗效探讨

Clinical Efficacy of Laparoscopic Assisted Radical Gastrectomy for Advanced Gastric Cancer

目的比较分析腹腔镜辅助下进展期胃癌根治术与传统开腹胃癌根治术的临床效果。方法选取在我院接受根治性手术治疗的60例进展期胃癌患者进行研究,根据手术方式将所有患者分为腹腔镜组和对照组,每组30例,其中对照组患者行传统开腹胃癌D2根治术,腹腔镜组患者行腹腔镜辅助胃癌D2根治术。比较两组患者的临床治疗效果。结果腹腔镜组患者手术时间长于对照组(P<0.05),术中出血量两组间比较差异无统计学意义(P>0.05),腹腔镜组患者肛门排气时间和进食时间早于对照组(P<0.05),住院时间短于对照组(P<0.05);两组患者淋巴结清扫数目比较差异无统计学意义(P>0.05),并发症发生率比较差异无统计学意义(P>0.05)。结论腹腔镜辅助进展期胃癌根治术治疗效果与传统开腹胃癌根治术效果相当,而且腹腔镜下手术还具有创伤小、患者恢复快、住院时间短等优势。

Objective To compare and analyze the clinical effect of laparoscopic assisted radical gastrectomy and traditional open radical gastrectomy for gastric cancer. Methods 60 cases of advanced gastric cancer patients in our hospital underwent radical surgical treatment were studied, according to the operation mode, all patients were divided into the laparoscopic group and the control group, 30 cases in each group, patients in the control group underwent conventional laparoscopic D2 radical gastrectomy for gastric cancer, laparoscopic group of patients with laparoscopic assisted D2 radical gastrectomy for gastric cancer, two groups of patients with clinical treatment were compared. Results The operation time of laparoscopic group was significantly longer than that of control group（P〈0.05）, the amount of bleeding between the two groups had no significant difference（P〉0.05）, the anal exhaust time and eating time in laparoscopic group were significantly earlier than those in control group（P〈0.05）, hospitalization time was significantly shorter than the control group（P 〈0.05）; two patients with lymph node dissection number had no significant difference（P〉0.05）, the complication rate was no significant difference（P〉0.05）. Conclusion The effects of laparoscopic assisted radical resection of advanced gastric cancer and traditional open radical gastrectomy are equivalent, and Laparoscopic surgery also has the advantages of less trauma, faster recovery, shorter hospitalization time and so on, has clinical application value.