腹腔镜辅助与开腹手术治疗进展期胃癌患者的围手术期效果对比分析  

Comparative Analysis of Perioperative Effect of Laparoscopy Assisted and Laparotomy in the Treatment of Advanced Gastric Cancer Patients

作　　者：黄惠[1] HUANG Hui(Department of General Surgery,the Third Hospital of Xinjiang Production and Construction Corps,Kashgar,Xinjiang,844000 China)

机构地区：[1]新疆生产建设兵团第三师医院普通外科,新疆喀什844000

出　　处：《中外医疗》2018年第14期49-51,共3页China & Foreign Medical Treatment

摘　　要：目的对比分析腹腔镜辅助与开腹手术治疗进展期胃癌患者的围手术期效果。方法方便选择该院2012年5月—2017年5月接诊的108例实施手术治疗的进展期胃癌患者,通过奇偶法将其分为实验组(n=54)与对照组(n=54),予以实验组患者腹腔镜手术治疗,对照组患者接受开腹手术治疗,比较两组患者的手术时间、切口长度、术中出血量、淋巴结清扫数目、术后通气时间、术后排便时间、术后并发症与术后住院时间。结果实验组患者手术时间(251.48±53.41)min明显长于对照组患者(159.34±51.21)min,但实验组患者手术时间、切口长度、术中出血量、术后通气时间、术后排便时间、术后住院时间与术后并发症总发生率均优于对照组患者,差异有统计学意义(t=9.150 5,22.108 8,16.609 3,3.625 4,2.143 5,5.543 3,P=0.000 0、χ2=4.788 2,P=0.028 6),两组患者淋巴结清扫数目对比差异无统计学意义(t=0.749 0,P=0.455 5)。结论腹腔镜辅助胃癌根治术治疗效果与开腹手术治疗效果相同,并且具有术后恢复时间短、术中出血量低、并发症发生率低、切口短等优势,尤其是术后住院时间短,能够有效减少患者治疗费用,为患者家庭减轻负担。Objective This paper tries to compare the perioperative effects of laparoscopy assisted and laparotomy in the treatment of advanced gastric cancer patients. Methods 108 patients with advanced gastric cancer undergoing surgical treatment from May 2012 to May 2017 in this hospital were convenient selected and divided into experimental group（n=54） and control group（n =54） by odd-even method. The patients in the experimental group received laparoscopic surgery and the control group received open surgery. The operative time, incision length, intraoperative blood loss, number of lymph node dissection, postoperative ventilation time, postoperative defecation time, and postoperative concurrence, disease and postoperative hospital stay were compared between the two groups. Results The operative time（251.48±53.41）min in the experimental group was significantly longer than that in the control group（159.34±51.21）min, but the operative time, length of the incision, intraoperative blood loss, postoperative ventilation time, postoperative defecation time, and postoperative period in the experimental group, the hospitalization time and the total incidence of postoperative complications were better than those in the control group, with significant differences（t=9.150 5, 22.108 8, 16.609 3, 3.625 4, 2.143 5, 5.543 3, P=0.000 0,χ^2=4.788 2, P=0.028 6）. There was no significant difference in lymph node dissection between the two groups（t=0.749 0,P=0.455 5）, not statistically significant. Conclusion The effect of laparoscopic radical gastrectomy for gastric cancer is the same as open surgery. It has the advantages of short postoperative recovery time, low intraoperative blood loss, low complication rate, and short incision, especially in short postoperative hospital stay, which can effectively reduce the cost of treatment for patients and reduce the burden on families.

关 键 词：腹腔镜辅助 开腹手术 进展期胃癌 围手术期 

分 类 号：R5[医药卫生—内科学]