腹腔镜根治术对胃癌患者生存预后的影响

Complications and Survival Prognosis Effect of Laparoscopic Radical Prostatectomy in Patients with Gastric Cancer

目的 探讨腹腔镜根治术对胃癌患者并发症和生存预后的影响。方法 选取胃癌患者80例,依据随机数表法随机分为腹腔组和常规组,每组40例,常规组患者给予常规开腹根治术治疗,腹腔组患者给予腹腔镜根治术治疗,随访3年,采用Kaplan-Meier生存曲线评估生存预后,统计分析所有患者治疗疗效、并发症和生存预后情况。结果 腹腔组患者术中出血量、术后首次排气、胃肠功能恢复、住院时间、镇痛药使用次数明显低于常规组,差异有统计学意义(P<0.05),但腹腔组和常规组患者术中肿瘤切缘-病灶距、淋巴结清扫数、手术时间基本相同,差异无统计学意义(P>0.05);腹腔组患者并发症发生率明显低于常规组,差异有统计学意义(P<0.05);Kaplan-Meier生存曲线分析结果显示,腹腔组和常规组患者3年累积生存率基本相同,差异无统计学意义(P>0.05)。结论 腹腔镜根治术治疗可有效减少胃癌患者术中术中创伤和术后并发症的发生,有利于患者身体的恢复,且对患者疗效和生存预后无不良影响,值得临床作进一步推广。

Objective To discuss the complications and survival prognosis effect of laparoscopic radical prostatectomy in patients with gastric cancer. Methods 100 patients with gastric cancer were selected.According to the random distribution,all patients were divided into abdominal cavity group and conventional group,each group with 40 cases,the conventional treatment group patients were treated with conventional laparotomy,the abdominal group patients were treated with laparoscopic radical prostatectomy,followed up for 3 years,the Kaplan Meier survival curve was used to assess the prognosis,statistical analyzed all treatment efficacy,complications and survival in patients with prognosis. Results The intraoperative blood loss,postoperative exhaust for the first time,gastrointestinal function recovery,length of hospital stay,analgesic used times of the abdominal group patients were significantly lower than those of the conventional group,the difference were statistically significant ( P <0.05),but the tumor cut edge- focal distance,lymph node Cleaning the same number,operation time of abdominal group and conventional group patients were basic the same,there were no statistically significant difference ( P >0.05);The incidence of complications rate of the abdominal group patients were significantly lower than those of the conventional group,the difference were statistically significant ( P <0.05);Kaplan Meier survival curve analysis results showed that,the 3 years of accumulated survival of abdominal group and conventional group patients were basic the same,there were no statistically significant difference ( P >0.05). Conclusion Laparoscopic radical prostatectomy treatment can reduce effectively fewer gastric cancer patients who intraoperative trauma and postoperative complications,it is beneficial to the recovery of patients' body,and the curative effect and survival outcomes for patients adverse effects,it's worthy of further clinical promotion.