腹腔镜辅助治疗胃癌与传统开腹术的临床疗效分析

Clinical analysis of laparoscopy-assisted surgery and open surgery for gastric cancer

目的:观察腹腔镜手术治疗胃癌与传统开腹术的临床疗效。方法:抽取54例行胃癌手术的患者进行研究,按照手术方式分为腹腔镜组与开腹组,每组27例。对比两组的术中指标(手术时间、出血量、切口长度、肿瘤距切缘距离及淋巴结清扫数)及术后指标(排气时间、下床活动时间、住院时间)。结果:腹腔镜组与开腹组相比较手术时间长,但是出血量少,切口长度小,排气、下床活动及住院时间短,两组比较差异有统计学意义(P<0.05);肿瘤距切缘距离及淋巴结清扫数两组比较差异无统计学意义(P>0.05)。结论:腹腔镜应用于胃癌治疗,减少了手术创伤,疗效满意。同时仍需要提高手术操作技术,减少手术时间。

Objective：To observe the clinical effect of laparoscopic gastric cancer surgery and open surgery. Method：54 patients with gastric cancer operation were selected as the subjects. The patients were divided into laparoscopy group and laparotomy group, 27 cases in each group, two groups of patients with operative time, intraoperative blood loss, wound length, incision and distance of the tumor, the number of lymph node cleaning ,exhaust time, ambulation time and hospitalization time were observed. Results：The intraoperative blood loss, wound length ,exhaust time, ambulation time and hospitalization time were significantly lower than the laparotomy group,but the operation time was longer than the aparotomy group, and there was significant difference （P〈 0.05） .There was no significant difference in incision and distance of the tumor, the number of lymph node cleaning between two groups（P〉 0.05 ） .Conclusion：Laparoscopy-assisted approach for the gastric cancer treatment could reduce the trauma to patients. The improvement of the operation skills can reduce the operation time.