腹腔镜和开腹手术行胃癌手术的临床疗效对比分析

Comparison Analysis of Clinical Effect of Laparoscopic and Laparotomic Surgery for Gastric Cancer

目的对比分析腹腔镜和开腹手术行胃癌手术的临床疗效。方法选取2015年6月至2016年6月在我院进行治疗的80例胃癌患者作为本次研究对象,依据手术方法的不同随机将患者分成对照组和治疗组,每组40例;对照组患者予以传统的开腹手术进行胃癌的治疗,治疗组患者予以腹腔镜手术进行胃癌治疗;对比分析两组患者的术中指标(手术时间、术中出血量、切口长度)、术后各项指标(排气时间、进食时间、下床时间、住院时间)、并发症发生率。结果治疗组的术中出血量、切口长度均明显优于对照组患者;治疗组的手术时间比对照组长,比较差异值P<0.05,均具有统计学意义;治疗组患者的排气时间、进食时间、下床时间、住院时间均少于对照组患者;比较差异值P<0.05,均具有统计学意义;治疗组患者的术后并发症发生率7.50%明显低于对照组患者的22.50%,比较差异值P<0.05,具有统计学意义;两组患者的治愈率相当,P>0.05,无统计学意义。结论腹腔镜手术和开腹手术治疗胃癌,均具有相当显著的疗效,但腹腔镜胃癌手术在住院时间、下床时间、术中出血量、切口长度、排气时间上都具有明显优势,并大大降低了并发症的发生率;加速患者康复进程。

Objective to compare and analyze clinical effect of laparoscopic and open surgery for gastric cancer. Methods choose 80 cases gastric cancer patients treated in our hospital from June 2015 to June 2016 as research objects, according to different surgical methods randomly divide them into control and treatment group, 40 cases in each. Control group was treated with traditional open surgery, and treatment group with laparoscopic surgery. Compare and analyze intraoperative indexes of two groups(operation time, intraoperative blood loss, length of incision), postoperative indexes(exhaust time, diet time, out of bed time, hospitalization time and complication rate. Results intraoperative blood loss, length of incision of treatment group was significantly better than control group; operation time of treatment group was longer than control group, difference showed statistical significance, P<0.05; exhaust time, diet time, out of bed time, hospitalization time of treatment group was less than control group, difference showed statistical significance, P<0.05; postoperative complication rate of treatment group was 7.50%, significantly lower than 22.50% of control group, difference showed statistical significance, P>0.05; cure rate of two groups was similar, P>0.05, with no statistical significance. Conclusionlaparoscopic and laparotomic surgery has significant curative effect for gastric cancer, but laparoscopic surgery has obvious advantages for hospitalization time, out of bed time, intraoperative blood loss, length of incision and exhaust time, and can greatly reduce complications incidence and accelerate rehabilitation process.