腹腔镜下吻合术与小切口辅助吻合术在胃癌患者中的应用效果  

Application effect of laparoscopic anastomosis and small incision-assisted anastomosis in patients with gastric cancer

作　　者：彭晓飞[1] 陈凌娟 PENG Xiaofei;CHEN Lingjuan(The people′s Hospital of Qingyuan City,The Sixth Affiliated Hospital of Guangzhou Medical University,Qingyuan 511518,Guangdong Province,China)

机构地区：[1]广州医科大学附属第六医院暨清远市人民医院,广东省清远市511518

出　　处：《微创医学》2023年第2期181-183,201,共4页Journal of Minimally Invasive Medicine

基　　金：清远市科技计划项目(编号:2019124)。

摘　　要：目的对比分析腹腔镜下吻合术与小切口辅助吻合术在胃癌患者中应用的效果及安全性。方法选取60例胃癌患者为研究对象,采用电脑随机法将患者分为观察组和对照组,每组30例。对照组采用小切口辅助吻合术,观察组采用腹腔镜下吻合术。比较两组患者的手术相关指标(手术时间、术中出血量、手术切口长度、吻合时间)和术后恢复相关指标(住院时间、肛门排气时间及进流食时间);在手术前后,采用VAS评估患者的疼痛程度;记录两组患者术后并发症的发生情况。结果观察组术中出血量、手术切口长度、吻合时间、住院时间、肛门排气时间及进流食时间均显著少于/短于对照组,差异均有统计学意义(均P<0.05)。术前,两组VAS评分差异无统计学意义(P>0.05);术后24 h、36 h,观察组VAS评分均明显低于对照组,差异均有统计学意义(均P<0.05)。观察组并发症发生率为6.67%,明显低于对照组的16.67%,差异有统计学意义(P<0.05)。结论与小切口辅助吻合术相比,腹腔镜下吻合术在胃癌患者中应用的效果较好,具有手术切口小及吻合时间短等优点,可降低患者疼痛感,安全性更高。Objective To comparatively analyze the effect and safety of laparoscopic anastomosis and small incision-assisted anastomosis in patients with gastric cancer.Methods Sixty patients with gastric cancer were selected as research objects and divided into an observation group and a control group by the computer randomized method,with 30 cases in each group.The control group was treated with small incision-assisted anastomosis,while the observation group was treated with laparoscopic anastomosis.The operation-related indicators(operation time,intraoperative blood loss,surgical incision length,anastomosis time)and postoperative recovery-related indicators(hospital stay,anal exhaust time and liquid diet time)were compared between the two groups.Before and after the operation,the VAS was used to assess the pain severity of patients.The occurrence of postoperative complications of the two groups were recorded.Results The intraoperative blood loss,surgical incision length,anastomosis time,hospital stay,anal exhaust time and liquid diet time in the observation group were significantly less/shorter than those in the control group,with statistically significant differences(all P<0.05).Before the operation,there was no statistically significant difference in the VAS score between the two groups(P>0.05).At 24h and 36h after the operation,the VAS scores of the observation group were significantly lower than those of the control group,with statistically significant differences(all P<0.05).The observation group had an obviously lower incidence of complications as 6.67%than 16.67%in the control group,with statistically significant difference(P<0.05).Conclusion Compared with small incision-assisted anastomosis,laparoscopic anastomosis in gastric cancer patients has a better application effect,with the advantages of small surgical incision and short anastomosis time,which can reduce patients′pain and have higher safety.

关 键 词：腹腔镜 吻合技术 小切口 胃癌 临床效果 安全性 

分 类 号：R735.2[医药卫生—肿瘤]