腹腔镜D2胃癌根治术疗效分析

Analysis of clinical effect of laparoscopic D2 radical gastrectomy for gastric cancer

目的 探讨腹腔镜D2胃癌根治术的临床价值。方法 选取2011年9月至2015年6月福田区人民医院收治胃癌患者52例为研究对象,经随机数字表法分为A、B两组,每组26例。A组行腹腔镜下D2胃癌根治术,B组行开腹D2胃癌根治术。观察两组患者手术效果及术后恢复情况。结果 A组手术时间、切口长度及术中出血量等指标均优于B组,差异有统计学意义（P〈0.05）,两组淋巴结清扫数差异无统计学意义（P〉0.05）,术后随访3～12个月显示,A组未出现肿瘤复发,B组出现1例（3.85%）肿瘤复发,两组差异无统计学意义（P〉0.05）;A组患者术后自主排气、下床活动、进食及住院时间与B组相比,差异有统计学意义（P〈0.05）。结论 腹腔镜下D2胃癌根治术可减小手术创伤,也利于术后恢复,适用范围广,具有推广价值。

Objective To investigate the clinical value of laparoscopic D2 radical gastrectomy for gastric cancer. Methods Fifty-two cases of patients with gastric cancer and who accepted treatments in our hospital from September, 2011 to June, 2016 were taken as the research objects, and were divided into A, B two groups by the random number table method, with 26 cases in each group. In the A group were underwent the laparoscopic D2 radical gastrectomy for gastric cancer, while in the B group were underwent open D2 gastric cancer radical surgery. Then, the operation effect and recovery after operation of two groups of patients were observed. Results The operation time, incision length and bleeding volume in the A group were better than that of B group, the difference was statistically significant （P〈0.05）. There was no significant difference in the lymph nodes between the two groups （P〉0.05）. Follow up for 3-12 months after operation showed that there was no recurrence of tumor in the A group, and there was 1 cases （3.85%） of tumor recurrence in the B group, and there was no significant difference between the two groups （P〉0.05）; Compared with the B group, the independent exhaust, get out of bed, eat, and hospitalization time after operation in the A group, and the difference was statistically significant （P〈0.05）. Conclusion The laparoscopic D2 radical gastrectomy for gastric cancer can reduce surgical trauma, is also conducive to recovery after operation, thus it has wide range of application and the promotion of value.