免气腹腹腔镜胃癌根治术治疗远端胃癌的临床效果观察  

Clinical effect of gasless laparoscopic radical gastrectomy for distal gastric cancer

作　　者：王西波 汪亦民 张瑶 王昊 薛英威[1] WANG Xi-bo;WANG Yi-min;ZHANG Yao;WANG Hao;XUE Ying-wei(Department of Gastroenterological Surgery,Harbin Medical University Cancer Hospital,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院胃肠外科,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2022年第3期234-237,共4页Journal of Harbin Medical University

摘　　要：目的评估免气腹腹腔镜胃癌根治术治疗远端胃癌的安全性和可行性。方法选取2021年1月~2022年1月我院胃肠外科收治的89例远端胃癌患者,观察组32例,施行免气腹腹腔镜胃癌根治术;对照组57例,施行常规腹腔镜胃癌根治术。对两组患者手术和术后恢复相关指标进行统计分析。结果观察组患者呼气末CO分压、术后镇痛时间明显小于对照组(P<0.05);胃管拔出时间、引流管拔出时间明显短于对照组(P<0.05);但观察组患者手术时长、术中出血量、淋巴结切除总数与对照组相比差异无统计学意义(P>0.05);另外,两组患者在术后进食时间、术后排气时间、术后住院时长、术后并发症上差异无统计学意义(P>0.05)。结论免气腹腹腔镜技术应用于临床胃癌治疗安全可行,可以避免呼气末CO分压过高、缩短患者术后疼痛时间,是胃癌患者微创手术的一种新选择。Objective To evaluate the safety and practicality of gasless laparoscopic radical gastrectomy for distal gastric cancer.Methods From January 2021 to January 2022,eighty-nine patients with distal gastric cancer were selected from the Department of Gastroenterological Surgery in our hospital.In observation group,thirty-two patients underwent gasless laparoscopic radical gastrectomy.In control group,fifty-seven patients underwent conventional laparoscopic radical gastrectomy.The indexes related to operation and postoperative recovery of the two groups were statistically analyzed.Results The partial pressure of end-tidal CO(PET CO)and postoperative analgesia time in observation group were significantly lower than those in control group(P<0.05);The extraction time of gastric tube and drainage tube was significantly shorter than that in control group(P<0.05);However,there were no significant differences in the operation time,intraoperative blood loss and total number of lymph nodes dissected between observation group and control group(P>0.05);In addition,there were no significant differences in postoperative feeding time,postoperative exhaust time,postoperative hospital stay and postoperative complications between the two groups(P>0.05).Conclusion Gasless laparoscopic technology is safe and feasible in clinical treatment of gastric cancer.Moreover it can avoid excessive PETCOand shorten postoperative pain time.Therefore,it could be regarded as a choice of minimally invasive surgery for gastric cancer patients.

关 键 词：免气腹技术 腹腔镜 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]