胃癌患者行微创胃癌手术治疗的效果观察

Observation on the Effect of Minimally Invasive Gastric Cancer Surgery in Patients with Gastric Cancer

目的探析微创胃癌手术治疗方案应用于胃癌患者的临床效果。方法纳入2019年6月—2022年1月济宁市第一人民医院收治的100例胃癌且存在外科手术适应证患者为研究对象,根据患者接受手术治疗方案差异进行分组,将接受开腹手术治疗干预的50例患者设为开腹组,接受腹腔镜微创辅助胃癌根治术治疗的50例患者设为微创组。将两种手术治疗后胃癌患者的围术期指标、血清学指标、术后并发症发生率作为评价微创手术方式应用于临床的价值。结果微创组患者手术所需时间显著长于开腹组,而切口长度、术中出血量、术后排气时间等数据均显著低于开腹组(P<0.05)。手术完成后微创组患者的白细胞(WBC),超氧化物歧化酶(SOD)指标均显著低于开腹组(P<0.05)。微创组患者在离院前手术相关并发症发生率均显著低于开腹组(P<0.05)。结论微创胃癌手术治疗方式对于设备和操作者专业素质要求较高,但对患者机体创伤程度能够得到有效控制,从长期疗效而言与开腹手术并无显著差异,但患者接受程度更高,提高整体舒适性。

Objective To explore the clinical effect of minimally invasive gastric cancer surgery in patients with gastric cancer.Methods From June 2019 to January 2022,100 patients with gastric cancer who were diagnosed with gastric cancer in Jining First People’s Hospital and had surgical indications were included as the analysis objects,and the patients were divided into groups according to the differences in surgical treatment plans.The 50 patients who received surgical intervention were set as the laparotomy group,and the 50 patients who received laparoscopic minimally invasive assisted radical gastrectomy for gastric cancer were set as the minimally invasive group.The perioperative indicators,serological indicators,and postoperative complication rates of gastric cancer patients after two surgical treatments were used to evaluate the clinical value of minimally invasive methods.Results The time required for surgery in the minimally invasive group was significantly longer than that in the laparotomy group,while the incision length,intraoperative blood loss,and postoperative exhaust time were significantly lower than those in the laparotomy group(P<0.05).After the operation,the white blood cells(WBC)and superoxide dismutase(SOD)of the patients in the two groups were significantly lower than those in the laparotomy group(P<0.05).The incidence of surgery-related complications before discharge in the minimally invasive group was significantly lower than that in the open group(P<0.05).Conclusion Minimally invasive gastric cancer surgery requires higher professional quality of equipment and operators,but it can effectively control the degree of trauma to the patient’s body.In terms of long-term efficacy,there is no significant difference from laparotomy,but the patient’s acceptance is higher,to improve overall comfort.