腹腔镜辅助小切口胃癌根治手术治疗进展期胃癌的疗效  

Efficacy of laparoscopic-assisted small incision radical gastrectomy for advanced gastric cancer

作　　者：王冰 WANG Bing(Dengta Central Hospital,Dengta 111300,China)

机构地区：[1]灯塔市中心医院,111300

出　　处：《中国实用医药》2021年第30期37-39,共3页China Practical Medicine

摘　　要：目的探讨腹腔镜辅助小切口胃癌根治手术治疗进展期胃癌的临床疗效。方法80例进展期胃癌患者,随机分为对照组和观察组,各40例。对照组采取开腹胃癌根治手术治疗,观察组采取腹腔镜辅助小切口胃癌根治手术治疗。对比两组手术时间、淋巴结清扫总数、手术出血量、并发症发生情况、生存质量评分。结果观察组手术时间(221.67±15.04)min短于对照组的(262.45±23.12)min,手术出血量(172.13±14.25)ml少于对照组的(214.56±28.15)ml,差异均有统计学意义(P<0.05)。观察组淋巴结清扫总数(17.21±2.21)个与对照组的(17.21±2.61)个对比,差异无统计学意义(P>0.05)。观察组并发症发生率为2.50%(1/40),低于对照组的20.00%(8/40),差异有统计学意义(P<0.05)。治疗前,两组生理功能、情感功能、社会功能、物质生活评分比较,差异无统计学意义(P>0.05);治疗后,两组生理功能、情感功能、社会功能、物质生活评分均高于治疗前,且观察组显著高于对照组,差异有统计学意义(P<0.05)。结论进展期胃癌患者应用腹腔镜辅助小切口根治胃癌手术治疗,可以有效缩短手术时间,减少术中出血量,且术后并发症少,患者生存质量高。Objective To discuss the clinical efficacy of laparoscopic-assisted small incision radical gastrectomy for advanced gastric cancer.Methods A total of 80 patients with advanced gastric cancer were randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with open radical gastrectomy,and the observation group was treated with laparoscopic-assisted small incision radical gastrectomy.Both groups were compared in terms of operation time,total number of lymph node dissections,surgical blood loss,complications,and quality of life score.Results The operation time(221.67±15.04)min of the observation group was shorter than(262.45±23.12)min of the control group,and the surgical blood loss(172.13±14.25)ml was less than(214.56±28.15)ml of the control group.All the differences were statistically significant(P<0.05).The total number of lymph node dissection in the observation group was(17.21±2.21)nodes,which was not statistically significant compared with(17.21±2.61)nodes in the control group(P>0.05).The complication rates in the observation group was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in physiological function,emotional function,social function,and material life score between the two groups(P>0.05).After treatment,the physiological function,emotional function,social function,and material life score in the two groups were higher than those before treatment,and the observation group was significantly higher than the control group.All the differences were statistically significant(P<0.05).Conclusion Laparoscopic-assisted small incision radical gastrectomy for patients with advanced gastric cancer can effectively shorten the operation time,reduce intraoperative blood loss,reduce postoperative complications and improve the quality of life of patients.

关 键 词：腹腔镜辅助小切口胃癌根治手术 进展期胃癌 开腹胃癌根治手术 

分 类 号：R735.2[医药卫生—肿瘤]