腹腔镜下微创手术用于胃癌治疗的效果评析与相关指标分析

Evaluation of laparoscopic minimally invasive surgery in the treatment of gastric cancer and analysis of related indicators

目的研究并探讨腹腔镜下微创手术用于胃癌治疗的临床效果。方法入组对象为2013年1月-2017年1月期间在我院行手术治疗的84例胃癌患者,按照计算机随机数字分组法,随机将84例胃癌患者分为2组,42例/组,对照组施行传统开腹胃癌根治术,观察组施行腹腔镜下微创胃癌根治术,2组胃癌患者在切口长度、手术时间、淋巴结清扫情况、术中出血量、术后恢复时间、并发症发生率、免疫功能指标等方面作比较。结果观察组在切口长度、术中出血量等方面均优于对照组(P<0.05),而其手术时间、淋巴结清扫总数与对照组相比均无统计学意义(P>0.05)。相比于对照组,观察组的术后排气恢复时间、自主下床活动时间、进食流质食物时间、住院时间均明显缩短(P<0.05)。观察组的并发症总发生率为4.76%,对照组为19.05%,观察组总发生率低于对照组(P<0.05)。对照组治疗后的各项免疫功能指标均较治疗前显著降低(P<0.05),而观察组治疗前后各项免疫功能指标比较均无统计学意义(P>0.05)。结论采取腹腔镜下微创手术对胃癌患者进行治疗,可对淋巴结进行有效清扫,还可有效减轻手术创伤及手术对患者免疫功能的干扰,减少术后并发症,有利于促进术后恢复。

Objective To study and explore the clinical effect of laparoscopic minimally invasive surgery for the treatment of gastric cancer. Methods the subjects for the January 2013 -2017 year in January period in 84 patients with gastric cancer underwent surgical treatment in our hospital, according to digital computer random grouping method, 84 cases of gastric cancer patients were randomly divided into 2 groups, 42 cases in each group and the control group underwent conventional open radical gastrectomy for gastric cancer, the observation group underwent laparoscopic radical operation of minimally invasive gastric cancer, two gastric cancer patients in the group operation time, incision length, lymph node dissection, intraoperative bleeding, postoperative recovery time, complication rate, immune function index and compared. Results in the observation group the incision length, bleeding volume in op- eration was better than the control group （P〈0.05）, and the operation time, total number of lymph node dissection compared with the control group had no statistical significance （P〉0.05）. Compared to the control group, the observation group postoperative exhaust. Complex time, independent ambulation time, eat liquid food time, hospitalization time were significantly reduced （P〈O.05）. The complications in the observation group the total incidence rate was 4.76%, 19.05% in the control group, the observation group the total incidence rate was lower than the control group （P〈0.05）. The control of the immune function after treatment group were significantly lower than those before treatment （P〈0.05）, and the observation group before and after treatment, the immune function index were not statistically significant （P〉0.05）. Conclusion the patients with gastric cancer were treated by laparoscopic minimally invasive surgery, can be effective for lymph node dissection, can effectively reduce the interference of surgical trauma and surgery on the immune function of patients, reduce the postoperative complications, there are to promote the postoperative recovery.