“单孔+1” 与传统腹腔镜术在胃癌根治术中的应用效果比较  

Comparison of the application effect of single incision+1 port andconventional laparoscopic surgery in radical gastrectomy for gastric cancer

作　　者：王倩[1] 冯达斌 何京 王晓楠 张云锋[1] 张佳[1] 袁甫军 WANG Qian;FENG Da-bin;HE Jing;WANG Xiao-nan;ZHANG Yun-feng;ZHANG Jia;YUAN Fu-jun(Thoracic Surgery Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061;General Surgery Department,the People's Hospital of Wugong County,Xianyang 712200,China)

机构地区：[1]西安交通大学第一附属医院胸外科,陕西西安710061 [2]陕西省武功县人民医院普外科,陕西咸阳712200

出　　处：《临床医学研究与实践》2020年第9期9-10,13,共3页Clinical Research and Practice

基　　金：国家自然科学基金青年基金(No.81702430)。

摘　　要：目的比较“单孔+1”(“SILS+1”)与传统腹腔镜术(CLS)在胃癌根治术中的应用效果。方法将行远端胃癌根治术的129例患者根据手术方式的不同分为“SILS+1”组(37例,“SILS+1”)和CLS组(92例,CLS)。比较两组患者的切口长度、手术时间、术中出血量、清扫淋巴结数量、首次排便/排气时间、首次下床时间、术后疼痛情况、腹腔引流管拔除时间、住院时间及住院总费用。结果两组患者的手术时间、术中出血量、清扫淋巴结数量、术后第1天的疼痛评分及住院总费用比较,差异无统计学意义(P>0.05)。“SILS+1”组患者的切口长度、术后首次排便/排气时间、首次下床时间、腹腔引流管拔除时间以及住院时间均短于CLS组,差异具有统计学意义(P<0.05);术后第2、3天,“SILS+1”组患者的疼痛评分低于CLS组,差异具有统计学意义(P<0.05)。结论“SILS+1”腹腔镜术具有良好的安全性、可靠性以及较好的临床疗效。Objective To compare the application effect of single incision+1 port("SILS+1")and conventional laparoscopic surgery(CLS)in radical gastrectomy for gastric cancer.Methods A total of 129 patients who underwent distal radical gastrectomy for gastric cancer were divided into"SILS+1"group(37 cases,"SILS+1")and CLS group(92 cases,CLS)according to the different surgical methods.The incision length,operation time,the amount of intraoperative blood loss,number of lymph nodes dissection,first defecation/exhaust time,the time of first getting out of bed,postoperative pain,removal time of abdominal drainage tube,hospital stay and total hospitalization expenses were compared between the two groups.Results There were no significant differences in operation time,the amount of intraoperative blood loss,the number of lymph node dissection,pain score at the first day after operation and total hospital expenses between the two groups(P>0.05).The incision length,first postoperative defecation/exhaust time,the time of first getting out of bed,removal time of abdominal drainage tube and hospital stay in the"SILS+1"group were shorter than those in the CLS group,the differences were statstically significant(P<0.05);at the 2nd and 3rd day after surgery,the pain scores of the"SILS+1"group were lower than those of the CLS group,the differences were statstically significant(P<0.05).Conclusion"SILS+1"laparoscopy surgery is safe,reliable and has a good clinicai effect.

关 键 词：单孔+1 传统腹腔镜术 远端胃癌根治术 

分 类 号：R735.2[医药卫生—肿瘤]