完全腹腔镜远端胃癌根治术的近期临床效果  

The Short-Term Clinical Effect of Total Laparoscopic Distal Gastrectomy for Gastric Cancer

作　　者：张晓林[1] 孙成林[1] ZHANG Xiao-lin;SUN Cheng-lin(Department of General Surgery,Affiliated Central Hospital of Shenyang Medical College,Liaoning Shenyang 110024)

机构地区：[1]沈阳医学院附属中心医院普外一科,辽宁沈阳110024

出　　处：《中国医疗器械信息》2022年第5期84-86,共3页China Medical Device Information

摘　　要：目的:探究完全腹腔镜远端胃癌根治术的近期临床效果和安全性。方法:选择2018年1月~2019年12月沈阳医学院附属中心医院行远端胃癌根治术的82例患者为研究对象,依据随机数字表法分为A组和B组(每组41例)。A组采用完全腹腔镜远端胃癌根治术治疗,B组实施腹腔镜辅助远端胃癌根治术治疗,比较两组的手术相关指标、术后恢复情况及安全性。结果:A组胃肠吻合时间、术中出血量与B组相比,差异无统计学意义,P>0.05,但切口长度短于B组,肛门首次排气时间、进食时间、住院时间短于B组,P<0.05;A组患者的术后24h、72h的VAS评分低于B组,差异有统计学意义,P<0.05;A组并发症发生率为4.88%,与B组(2.44%)相比,差异无统计学意义,P>0.05。结论:在胃癌患者治疗中,完全腹腔镜远端胃癌根治术创伤小,患者住院时间短,术后恢复较快,近期效果较为理想,且安全性较高。Objective:To explore the short-term clinical effect and safety of total laparoscopic distal gastrectomy(TLDG)for gastric cancer(GC).Methods:During from January 2018 to December 2019,a total of 82 patients who underwent radical resection of distal GC in the Affiliated Central Hospital of Shenyang Medical College were selected as the study objects.According to the random number table method,they were randomly divided into two groups-group A and group B(41 cases in each group).The patients in group A were treated with TLDG,while those in group B were treated with laparoscopic assisted radical gastrectomy(LARG),and compared the operation-related indicators,postoperative recovery and safety between the two groups.Results:There was no significant difference between group A and group B in the duration of gastrointestinal anastomosis and the amount of intraoperative bleeding(P>0.05),but the incision length of group A was shorter than that of group B,the time of first anal exhaust,eating and hospitalization were shorter than that of group B(P<0.05),VAS score of group A at 24h and 72h after surgery was lower than that of group B,with statistical significance(P<0.05),the incidence of complications in group A was 4.88%,and there was no significant difference between group A and group B(2.44%),P>0.05.Conclusion:In the treatment of patients with GC,TLDG has the advantages of less trauma,shorter hospital stay,faster postoperative recovery,better short-term effect and higher safety.

关 键 词：胃癌 远端胃癌根治术 腹腔镜 术中出血量 恢复时间 并发症率 

分 类 号：R735.2[医药卫生—肿瘤]