进展期胃癌患者实施D2根治术治疗对其术后并发症发生率的影响探讨

Effect of D2 radical operation on the incidence of postoperative complications in patients with advanced gastric cancer

目的探讨应用D2根治术治疗进展期胃癌患者的临床效果及安全性。方法随机选取本院于2013年3月至2016年7月收治的64例进展期胃癌患者为研究对象,将接受D2根治术治疗的32例患者设为观察组,接受传统开腹胃癌根治术治疗的32例患者设为对照组,分析比较两组患者的临床疗效和并发症发生情况。结果观察组手术时间、首次肛门排气时间、住院时间均明显短于对照组,术中出血量少于对照组,切口长度短于对照组,差异均有统计学意义(P<0.05);观察组患者术后并发症总发生率为9.38%,显著低于对照组的34.38%(P<0.05)。结论选用D2根治术对进展期胃癌患者进行治疗,疗效较为理想,且安全性高。

Objective To investigate the clinical efficacy and safety of D2 radical operation in the treatment of advanced gastric cancer. Methods Sixty-four cases of advanced gastric cancer patients admitted in our hospital from March 2013 to July 2016 were enrolled in this study, among them, 32 patients who received D2 radical operation were selected as observation group, another 32 patients who received traditional radical gastrectomy were selected as control group. The clinical efficacy and incidence of complications were analyzed and compared between the two groups. Results The operation time, first anal exhaust time and hospitalization time of the observation group were significantly shorter than those in the control group, the intraoperative blood loss was less than that in the control group, the incision length was shorter than that in the control group, the differences were statistically significant （P〈0.05）. The total incidence rate of postoperative complications in the observation group was 9.38%, which was significantly lower than 34.38% in the control group （P〈0.05）. Conclusion D2 radical surgery applied in the treatment of patients with advanced gastric cancer, the effect is more ideal, with high safety.