腹腔镜微创手术治疗胃肠肿瘤的效果分析

Effect of laparoscopic minimally invasive surgery on gastrointestinal tumors

目的探讨腹腔镜微创手术治疗胃肠肿瘤的临床效果。方法抽取2017年6月至2021年9月商丘市第一人民医院收治的胃肠肿瘤患者800例,按照随机数字表法分为腹腔镜组与开腹组,每组400例。开腹组采用常规开腹手术治疗,腹腔镜组采用腹腔镜微创手术治疗。比较两组围术期指标、术后恢复情况及并发症发生率。结果腹腔镜组手术时间[(109.58±9.52)min]、术中出血量[(81.25±5.68)ml]均少于开腹组[(118.63±12.57)min、(146.28±12.37)ml],P均<0.05;腹腔镜组下床时间、首次排气时间及进食时间均短于开腹组(P均<0.05);腹腔镜组并发症发生率(2.00%,8/400)与开腹组(13.00%,52/400)比较差异未见统计学意义(P>0.05)。结论腹腔镜微创手术治疗胃肠肿瘤能改善围术期情况,加快术后恢复,且手术安全性良好。

Objective To investigate the effect of the laparoscopic minimally invasive surgery on gastric cancer.Method A total of 800 patients with gastrointestinal tumors treated in the Shangqiu First People’s Hospital from June 2017 to September 2021 were selected,and they were divided into laparoscopic group and laparotomy group according to the random number table method,with 400 patients in each group.Laparoscopy group was treated by conventional open surgery,and the laparoscopic group was treated by laparoscopic minimally invasive surgery.The perioperative indicators,postoperative recovery and complications were compared between the two groups.Results The operation time and intraoperative blood loss in the laparoscopic group were(109.58±9.52)min and(81.25±5.68)ml,respectively,which were less than the(118.63±12.57)min and(146.28±12.37)ml in the laparotomy group(all P<0.05).The out-of-bed time,first exhaust time,and first eating time in the laparoscopic group were shorter than those in the laparotomy group(all P<0.05).There was no significant difference in complication rate between the laparoscopic group(2.00%,8/400)and the laparotomy group(13.00%,52/400),P>0.05.Conclusions Laparoscopic minimally invasive surgery in the treatment of gastric cancer can improve perioperative situation,speed up the recovery,with good safety.