3D和2D腹腔镜根治术治疗胃癌的效果比较

Comparison of the effects of 3D and 2D laparoscopic radical resection in the treatment of gastric cancer

目的比较3D和2D腹腔镜根治术治疗胃癌的效果。方法选取我院收治的60例胃癌患者作为研究对象,采用数据库随机分组法将其分为观察组(30例,3D腹腔镜根治术)和对照组(30例,2D腹腔镜根治术)。比较两组患者的并发症发生情况、手术相关指标、胃指标及血清指标。结果观察组患者的并发症总发生率低于对照组(P<0.05);观察组患者的淋巴结清扫数量及腹腔引流量均优于对照组(P<0.05);治疗后,观察组患者的胃蛋白酶原Ⅰ、胃蛋白酶原Ⅱ、胃泌素、胃蛋白酶原、CRP、CA125、CA19-9、CEA水平均优于治疗前及对照组(P<0.05)。结论对胃癌患者实施3D腹腔镜根治术的治疗效果更为显著,更能减轻对周围组织损伤性,降低术后并发症发生率。

Objective To compare the effects of 3D and 2D laparoscopic radical resection in the treatment of gastric cancer.Methods Sixty patients with gastric cancer admitted in our hospital were selected as the research objects and divided into observation group(30 cases,3D laparoscopic radical resection)and control group(30 cases,2D laparoscopic radical resection)according to database random grouping method.The complications,surgical related indicators,gastric indicators and serum indicators were compared between the two groups.Results The total incidence of complications in the observation group was lower than that in the control group(P<0.05);the number of lymph node dissection and abdominal drainage volume in the observation group were better than those in the control group(P<0.05);after treatment,the levels of pepsinogenⅠ,pepsinogenⅡ,gastrin,pepsinogen,CRP,CA125,CA19-9 and CEA in the observation group were better than those before treatment and in the control group(P<0.05).Conclusion 3D laparoscopic radical resection is more effective for gastric cancer patients,it can alleviate the damage to surrounding tissues and reduce the incidence of complications after operation.