比较腹腔镜下胃癌根治术与开腹胃癌根治术治疗早期胃癌患者的预后与生存

Prognosis And Survival Comparison Of Laparoscopic Radical Gastric Cancer And Open Radical Gastric Cancer For Early Gastric Cancer Patients

目的比较腹腔镜下胃癌根治术和开腹胃癌根治术对早期胃癌患者预后和生存的影响。方法抽取2016年3月至2019年3月间在我院接受手术治疗的60例早期胃癌患者,将所有患者随机分为A、B两组。A组接受腹腔镜下胃癌根治术,B组接受开腹胃癌根治术,比较两组患者各项术中指标、术后恢复指标、临床疗效、生活质量和术后一年生存率差异。结果经统计学软件验证组间各项观察指标数据后发现,A组患者的平均手术时间、住院时间、肛门通气时间和术中出血量均要低于B组(P<0.05),B组患者的平均治疗有效率和各项生活质量评分也均要低于A组(P<0.05);两组患者术后一年间死亡率存在一定的差异,但组间差异无统计学意义,P>0.05。结论腹腔镜下胃癌根治术在早期胃癌患者治疗中的效果显著,不仅具有优质的治疗效果,帮助患者控制病情,还具有切口小的优点,患者术中出血量较低,手术时间也较短,有助于患者的术后恢复,能够有效提升患者的生活质量,预后效果较佳,且应用该术式患者的死亡率也较低,值得推广。

Objective To compare effect of laparoscopic radical gastric cancer resection and open radical gastric cancer resection on prognosis and survival of patients with early gastric cancer.Methods We chose 60 cases of early gastric cancer patients with surgery in our hospital from March 2016 to March 2019,divided them into two groups,A and B randomly.Group A was treated with laparoscopic radical gastric cancer resection,and group B with open radical gastric cancer resection.Compared differences in intraoperative indexes,postoperative recovery indexes,clinical effect,life quality,and one-year survival rate between two groups.Results Statistical software verified observation index data between groups and the results showed,average operation time,length of stay,anal ventilation time and intraoperative blood loss of group A was lower than those of group B (P﹤0.05),and average effective rate,various life quality scores of group B were lower than group A (P﹤0.05);there was difference in mortality rate between two groups within one year after surgery,the difference was not statistically significant between groups,P﹥0.05.Conclusion Laparoscopic radical gastric cancer has significant curative effect in treatment of early gastric cancer patients,can control the disease with advantages of small incisions,lower intraoperative blood loss and shorter operation time,help postoperative recovery of patients,improve life quality effectively with better prognostic effect,lower mortality rate,which is worthy of promotion.