腹腔镜远端胃癌D2根治术治疗进展期胃癌的效果

Effect of laparoscopic distal gastric cancer D2 radical surgery treating advanced gastric cancer

目的探讨腹腔镜远端胃癌D2根治术治疗进展期胃癌的效果。方法选取2017年4月~2019年4月在鞍山市肿瘤医院进行手术治疗的84例进展期胃癌患者作为观察对象,对患者的临床资料进行回顾分析,依据治疗方案的不同将患者分为对照组(传统开腹胃癌根治术)和观察组(腹腔镜远端胃癌D2根治术),每组各42例。分析两组患者的手术指标、预后情况及术后并发症发生率。结果观察组患者的手术时间长于对照组,术中出血量少于对照组,肛门排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);两组患者的淋巴结清扫数比较,差异无统计学意义(P>0.05)。观察组患者的术后并发症总发生率为16.67%,对照组患者的术后并发症总发生率为19.05%,两组比较,差异无统计学意义(P<0.05)。结论腹腔镜远端胃癌D2根治术治疗进展期胃癌的效果与传统开腹胃癌根治术相当,尽管手术时间更长,但患者的术中出血量更少,安全性更高,还能够加快患者的康复,缩短患者住院时间,值得临床推广应用。

Objective To explore the effect of laparoscopic distal gastric cancer D2 radical surgery treating advanced gastric cancer.Methods A total of 84 patients with advanced gastric cancer who underwent surgical treatment in Anshan Tumor Hospital from April 2017 to April 2019 were selected as observation objects.The clinical data of the patients were retrospectively analyzed.According to the different treatment schemes,the patients were divided into control group(traditional open gastric cancer radical surgery)and observation group(laparoscopic distal gastric cancer D2 radical surgery),with 42 cases in each group.The surgical indexes,prognosis and postoperative complications of the two groups were analyzed.Results The operative time of patients in the observation group was longer than that of the control group,the intraoperative blood loss was less than that of the control group,and the anal exhaust time and hospital stay were shorter than those of the control group,with statistically significant differences(P<0.05).There was no significant difference in the number of lymph node dissection between the two groups(P>0.05).The total incidence of postoperative complications was 16.67%in the observation group and 19.05%in the control group,and there was no statistically significant difference between the two groups(P<0.05).Conclusion The curative effect of laparoscopic distal gastric cancer D2 radical surgery for advanced gastric cancer is equivalent to that of traditional open gastric cancer radical surgery.Although the operation time is longer,the intraoperative blood loss of patients is less and the safety is higher.The laparoscopic distal gastric cancer D2 radical surgery can also accelerate the recovery of patients and shorten the hospitalization time of patients,which is worthy of clinical application.