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1、腹腔镜在早期胃癌根治术中的临床分析(南京医科大学附属无锡市第二人民医院江苏无锡214002)【摘要】目的：探讨腹腔镜在早期胃癌根治术中的临床疗效。方法：选取我院2013年5月-2014年5月所接收治疗的100例胃癌患者，依据不同的治疗方案，随机分为观察组和对照组，每组患者50例。对照组患者采用常规开腹胃癌根治手术治疗方法，观察组患者采用腹腔镜根治手术治疗，对比分析两组患者的临床疗效和不良反应情况。结果：两组患者治疗后，两组患者的各项观察指标具有明显的差距，观察组患者的手术时间显著高于对照组患者的手术时间，p〉0.05
2、,差异不具备统计学意义。观察组患者的手术中出血量、手术后首次进食时间、手术后住院时间显著优于对照组患者，P<0.05差异具有统计学意义。观察组患者手术后有2例肺部感染，有1例切口感染，有1例吻合口感染。并发症发牛.率为8.0%。对照组患者手术后有1例肺部感染，有3例切口感染，有1例肠梗阻，有1例腹腔内出血。并发症发生率为12.0%。结论：对于胃癌患者采用腹腔镜根治手术治疗，岀血量少，创伤低，手术后住院时间短，手术后恢复快，疗效显著，具有临床价值意义，可以大力推广。【关键词】腹腔镜根治手术；胃癌；临床疗效【中图分
3、类号】R735【文献标识码】B【文章编号】1003-5028(2015)6-0649-02【Abstract】Objective:tostudytheclinicalcurativeeffectoflaparoscopeinearlygastriccancerradical.Selectionmethods:fromMay2013toMay2014receivedthetreatmentof100patientswithgastriccancer,accordingtothedifferenttreatment,we
4、rerandomlydividedintoobservationgroupandcontrolgroup,50casesineachgrouppatients.Controlgroupweretreatedbyconventionallaparotomygastriccancerradicalsurgerytreatment,observationgroupweretreatedbylaparoscopicradicalsurgerytreatment,comparedtwogroupsofclinicalcurat
5、iveeffectandadversereactionofpatients.Results:twogroupsofpatientsaftertreatment,twogroupsofpatientsintheobservationindexhasobviousgap,observationgroupofpatientswithoperationtime,operationtimeissignificantlyhigherthanthecontrolgrouppatients(p>0.05,thedifferen
6、cedoesnothavestatisticalsignificance.Observationgroupofpatientswithintraoperativebloodloss,forthefirsttimetoeataftertheoperationtime,hospitalizationtimesignificantlybetterthanthecontrolgrouppatientsafterthesurgery,P<0.05differenceisstatisticallysignificant.O
7、bservationgroupaftersurgeryinpatientswithlunginfectionin2cases,1caseofincisioninfection,1caseofanastomoticinfection.Theincidenceofcomplicationswas8.0%.Controlgroupaftersurgeryinpatientswithlunginfectionin1case,3casesofincisioninfection,1caseofintestinalobstruct
8、ion,1caseofabdominalcavityhemorrhage.Theincidenceofcomplicationswas12.0%.Conclusion:laparoscopicradicalsurgeryforgastriccancerpatientsusingtreatment,lessbloodloss,trauma,sho
