腹腔镜辅助和传统开腹手术在进展期胃癌根治术中的临床疗效比较

Comparison of Clinical Efficacy of Laparoscope-assisted and Traditional Open Surgery in Radical Gastrectomy for Advanced Gastric Cancer

目的:比较腹腔镜辅助、开腹术式用于进展期胃癌有关根治术中的效果。方法:选取福州市中医院2021年1月至2021年12月收治的60例处在进展期胃癌患者,结合不同术式分成对照组(开腹根治术式)和观察组(腹腔镜辅助根治术式),分别为30例患者,比较两组患者不同术式下的手术及术后康复指标、并发症发生情况。结果:观察组患者的切口长度适于对照组,且术中失血量均少于对照组,差异具有统计学意义(P<0.05);观察组患者排气恢复、下床活动、进食恢复及住院时间均短于对照组,差异具有统计学意义(P<0.05);观察组患者并发症总发生率低于对照组,差异具有统计学意义(P<0.05)。结论:和开腹术式相比,进展期胃癌患者在腹腔镜辅助下接受根治手术能减少手术创伤和并发症出现,加快术后康复。

Objective To compare the clinical efficacy of laparoscopic-assisted surgery versus traditional open surgery for radical gastrectomy in patients with advanced gastric cancer.Methods A total of 60 patients with advanced gastric cancer admitted to Fuzhou Traditional Chinese Medicine Hospital from January 2021 to December 2021 were selected and divided into a control group(open surgery)and an observation group(laparoscopic-assisted surgery),with 30 patients in each group undergoing different surgical methods.The operation outcomes,postoperative rehabilitation indexes,and complications were compared between the two groups.Results The observation group had shorter incision lengths and less intraoperative blood loss than those in the control group,with statistically significant differences(P<0.05).The time of exhaust recovery,first ambulation,eating recovery,and hospital stay were shorter in the observation group compared to the control group,with statistically significant differences(P<0.05).The observation group had a lower total incidence of complications than that in the control group,with a statistically significant difference(P<0.05).Conclusions Compared to open surgery,laparoscopic-assisted radical surgery for advanced gastric cancer can reduce surgical trauma and complications,and accelerate postoperative rehabilitation.