腹腔镜辅助和开腹远端胃癌D_2根治术治疗进展期胃癌的效果对比

Effect comparison of laparoscope-assisted and laparotomy D_2 radical operation for stomach cancer in the treatment of advanced stomach cancer

目的对比分析腹腔镜辅助和开腹远端胃癌D_2根治术治疗进展期胃癌的优劣差异。方法系统性回顾2014年3月～2015年3月我院外一科确诊并收入院的38例胃癌患者,依据手术方式不同分为实验组和对照组,每组各19例。实验组采用经腹腔镜远端胃癌D_2根治术,对照组采用传统开腹远端胃癌D_2根治术。观察对比两组的手术时间、术中出血量、腹腔引流量、排气时间、住院时间等手术及术后相关情况。随访3年,分析患者的术后长期生存率。结果实验组的手术时间显著长于对照组,术中出血量、腹腔引流量显著少于对照组,排气时间、住院时间均显著短于对照组,差异有统计学意义(P<0.05)。实验组的不良反应总发生率、死亡率显著低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜辅助远端胃癌D_2根治术治疗进展期胃癌效果显著,值得临床推广。

Objective To compare the differences between laparoscope-assisted and laparotomy D2 radical operation for stomach cancer in the treatment of advanced stomach cancer.Methods A total of 38 patients were systematically reviewed who were diagnosed in the First Department of Surgery of our hospital from March 2014 to March 2015,all cases of gastric cancer were divided into the experimental group and the control group according to the different surgical methods,19 cases in each group.The experimental group adopted laparoscope-assisted D2 radical operation for stomach cancer,while the control group was treated with laparotomy D2 radical operation for stomach cancer.The operation time,bleeding volume,abdominal drainage volume,exhaust time and hospitalization time were observed and compared between the two groups.After 3 years′follow-up visit,the postoperative long-term survival rate was analyzed.Results The average operation time of the experimental group was significantly longer than that of the control group,the intraoperative bleeding volume and abdominal drainage volume in the experimental group were significantly less than those in the control group,the exhaust time and hospitalization time in the experimental group were significantly shorter than those in the control group,with significant difference(P<0.05).The total incidence of adverse reactions and mortality rate of the experimental group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of laparoscope-assisted D2 radical operation for stomach cancer in the treatment of advanced stomach cancer is significant and it is worthy of clinical promotion.