腹腔镜胃癌根治术治疗进展期胃癌的临床研究

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1、圜鸚胃銅台术縮胃癌的iMf究2018-04-0809:50:18中国现代医生2018年4期周小帅洪晓明童优君［摘要］目的探討腹腔镜胃癌根治术治疗进展期胃癌的手术效果，并与开腹胃癌根治术治疗进展期胃癌的临床效果进行对比分析。方法选取2015年1月〜2017年1月在本院接受治疗的62例进展期胃癌患者作为研究对象，其中32例采取腹腔镜胃癌根治术，30例采取开腹胃癌根治术。对两组的手术时间、术中出血量、肛门排气时间、下床时间及并发症发生率进行对比分析。结果腹腔镜组的手术时间与对照组比较，差异不显著(P>0.05)。腹腔镜组的术屮出血量显著少于对照组，差异有统计学意义(Pv

2、O.05)，术后肛门排气时间、下床时间显著短于对照组，差异有统计学意义(PvO.05)。腹腔镜组术后发生吻合口痿1例、切口感染0例、肺部感染2例、肠梗阻1例，对照组术后发生吻合口痿2例、切口感染3例、肺部感染1例、肠梗阻3例，两组术后并发症发生率分别为12.5%.30.0%，腹腔镜组术后并发症发生率显著低于对照组，组间比较差异有统计学遗义(PvO.05)。结论腹腔镜胃癌根治术较开腹胃癌根治术治疗进展期胃癌更具优势，可以减少术中出血量、促进患者术后尽快恢复、术后并发症少，有利于显著改善患者的预后。［关键词］进展期胃癌；腹腔镜胃癌根治术；开腹胃癌根治术；并发症［中图分

3、类号］R735.2［文献标识码］B［文章编号］1673-9701(2018)04-0101-04［Abstract］ObjectiveToinvestigatetheeffectoflaparoscopicradicalgastrectomyinthetreatmentofadvaneedgastriccancerandtocompareitsclinicalefficacywiththatofopenradicalgastrectomy.MethodsTotally62patientswithadvaneedgastriccancertreatedinourho

4、spitalfromJanuary2015toJanuary2017wereselectedasthestudysubjects.Amongthem,32patientsunderwentradicallaparoscopicradicalgastrectomyand30underwentopenradicalgastrectomy.Theoperationtime,intraoperativebloodloss,analexhausttime,thetimeofgettingoutofbedandcomplicationratewerecomparedbetwe

5、enthetwogroups.ResultsTherewasnosignificantdiffereneeintheoperationtimebetweenthelaparoscopicgroupandthecontrolgroup(P>0.05)・Theintraoperativebleedingofthelaparoscopicgroupwassignificantlylessthanthatofthecontrolgroup,andthediffereneewasstatisticallysignificant(P<0.05).Postoperativean

6、alexhausttime,thetimeofgettingoutofbedwassignificantlyshorterthanthatofthecontrolgroup,andthediffereneewasstatisticallysignificant(PvO.05).Therewere1caseofanastomoticfistula,nocaseofincisioninfection,2casesofpulmonaryinfectionand1caseofintestinalobstructionafteroperationinlaparoscopic

7、group.Therewere2casesofanastomoticleakage,3casesofincisioninfection,1caseoflunginfectionand3casesofintestinalobstructioninthecontrolgroup・Theincidenceofpostoperativecomplicationsintwogroupswas12.5%and30.0%respective!y.Theincidenceofpostoperativecomplicationsinthelaparoscopicgroupwassi

8、gnifi