腹腔镜胃癌手术与开腹手术的临床疗效分析

Clinical analysis of laparoscopic surgery and open surgery for gastric cancer

目的:观察腹腔镜胃癌手术与开腹手术的临床疗效。方法:选取82例行胃癌手术的患者作为研究对象。根据入院时间分为观察组和对照组,各41例。观察组行腹腔镜下胃癌根治术,对照组行传统开腹胃癌根治术,观察两组患者术中出血量、手术时间、伤口长度、排气时间、进食时间、术后12 h疼痛程度、下床时间以及住院时间。结果:观察组术中出血量、伤口长度、排气时间、进食时间、术后12 h VAS评分、下床时间以及住院时间均明显低于对照组,而手术时间长于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜手术虽然延长了手术时间,但是对患者损伤小,缩短了患者术后排气、进食、下床活动时间,减轻术后疼痛,更有利于患者术后恢复。

Objective To observe the clinical effect of laparoscopic gastric cancer surgery and open surgery.Method 82 patients with gastric cancer operation were selected as the subjects.The patients were divided into observation group and control group according to admission time,41 cases in each group.The observation group underwent laparoscopic radical gastrectomy,the control group underwent conventional open radical gastrectomy,two groups of patients with bleeding,wound length,operative time,exhaust time,eating time,postoperative 12 h pain,ambulation time and hospitalization time were observed.Results The amount of bleeding,wound length,exhaust time,eating time,postoperative 12 h VAS score,ambulation time and hospitalization time were significantly lower than the control group,the operation time was longer than the control group,and there was significant difference（ P〈0.05）.Conclusion Although laparoscopic surgery prolongs the operation time,it can reduce the injury of patients,shorten the time of exhaust,eating and ambulation,relieve postoperative pain,and is more conducive to postoperative recovery.