腹腔镜D2根治术治疗进展期胃癌的临床效果

Clinical Effect of Laparoscopic D2 Radical Resection for Advanced Gastric Cancer

目的探索腹腔镜辅助下D2根治术在进展期胃癌病患之中的应用价值。方法纳入2017年6月—2018年5月收治的进展期胃癌病患63例作为试验对象。把随机数字表法当做分组方式,把病患分成了试验组31例与参照组32例。参照组病患接受开腹胃癌根治术,试验组病患接受腹腔镜辅助下D2根治术进行治疗。对两组手术情况、术后康复状况进行比较。结果与参照组病患相比较,试验组的手术出血量、术后肛门首次排气时间、住院时间更短,P<0.05;两组的淋巴结清扫数量对比,差异有统计学意义,P<0.05;试验组并发症发生率(6.45%)同参照组(25.00%)对比差异无统计学意义,P>0.05。结论把腹腔镜D2根治术用于治疗进展期胃癌有利于病患术后恢复,并发症少。

Objective To explore the value of laparoscopic-assisted D2 radical resection in advanced gastric cancer.Methods 63 patients with advanced gastric cancer admitted from June 2017 to May 2018 were enrolled as subjects.The random number table method was used as a grouping method.The patients were divided into the experimental group(31 cases)and the control group(32 cases).Patients in the control group received open radical gastrectomy,while patients in the experimental group received laparoscopic-assisted D2 radical gastrectomy.The operation and rehabilitation of the two groups were compared.Results Compared with the control group,the bleeding volume,the first exhaust time and hospitalization time in the experimental group were shorter,P<0.05;The incidence of complications in the experimental group(6.45%)was not significantly different from that in the control group(25.00%),P>0.05.The incidence of complications between the experimental group and the control group was no significance,P>0.05.Conclusion Laparoscopic D2 radical resection for advanced gastric cancer is conducive to the recovery of patients with fewer complications.