腹腔镜胃癌根治术的临床疗效分析  

Analysis of clinical efficacy of laparoscopic radical gastrectomy

作　　者：崔爽 CUI Shuang(Anshan Cancer Hospital,Anshan 114000,China)

机构地区：[1]辽宁省鞍山市肿瘤医院,114000

出　　处：《中国实用医药》2023年第15期51-53,共3页China Practical Medicine

摘　　要：目的探讨腹腔镜胃癌根治术的临床疗效。方法88例胃癌患者作为研究对象,依据手术方式不同分为观察组与对照组,各44例。对照组行传统开腹胃癌根治术,观察组行腹腔镜胃癌根治术。对比两组临床指标、术后疼痛评分、术后并发症发生情况。结果观察组术中出血量(175.6±39.7)ml少于对照组的(391.4±42.3)ml,伤口长度(6.7±1.3)cm、术后排气时间(2.2±0.3)d、住院时间(12.9±3.2)d短于对照组的(18.1±2.2)cm、(3.4±0.7)d、(19.3±4.9)d,差异均有统计学意义(P<0.05)。观察组术后24、48 h疼痛评分分别为(3.79±1.03)、(2.51±0.74)分,均低于对照组的(5.89±1.17)、(3.95±1.04)分,差异均有统计学意义(P<0.05)。观察组术后并发症发生率9.1%明显低于对照组的25.0%,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术治疗胃癌患者较传统开腹手术患者术中损伤小,术后恢复快,并发症发生率低,可提升治疗效果,促进患者康复。Objective To discuss the clinical efficacy of laparoscopic radical gastrectomy.Methods A total of 88 patients with gastric cancer were studied and divided into observation group and control group according to different surgical methods,with 44 cases in each group.The control group underwent traditional open radical gastrectomy,while the observation group underwent laparoscopic radical gastrectomy.The clinical indexes,postoperative pain score and postoperative complications of the two groups were compared.Results The intraoperative blood loss of(175.6±39.7)ml in the observation group was less than that of(391.4±42.3)ml in the control group;the observation group had wound length of(6.7±1.3)cm,postoperative exhaust time of(2.2±0.3)d and hospitalization time of(12.9±3.2)d,which were shorter than those of(18.1±2.2)cm,(3.4±0.7)d and(19.3±4.9)d in the control group;the differences were statistically significant(P<0.05).The pain scores of the observation group at 24 and 48 h after surgery were(3.79±1.03)and(2.51±0.74)points,which were lower than those of(5.89±1.17)and(3.95±1.04)points of the control group,and the differences were statistically significant(P<0.05).The postoperative complication rate of 9.1%in the observation group was significantly lower than that of 25.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with traditional open surgery,laparoscopic radical gastrectomy has less intraoperative injury,faster postoperative recovery and lower incidence of complications.It can improve the therapeutic effect and promote the rehabilitation of patients.

关 键 词：腹腔镜 胃癌根治术 开腹胃癌根治术 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]