摘要
目的观察早期胃癌患者行内镜下黏膜剥离术(ESD)追加腹腔镜胃癌根治术的围术期指标及并发症。方法回顾性分析本院在2019年5月—2022年5月接受手术治疗的98例早期胃癌患者临床资料,根据不同术式分为研究组与对照组,研究组49例,对照组55例,研究组行ESD追加腹腔镜胃癌根治术治疗,对照组行腹腔镜胃癌根治术治疗,比较两组在围术期的术中出血量、首次肠鸣音出现用时等,分析研究组中ESD后不同时间间隔追加腹腔镜胃癌根治术手术对并发症发生率的影响。结果两组术中出血量、首次肠鸣音出现用时、留院观察用时等围术期指标差异均无统计学意义(P>0.05);研究组第1、3、6周追加手术后并发症发生率均低于其余周追加手术并发症发生率(P<0.05),结论ESD追加腹腔镜胃癌根治术与腹腔镜胃癌根治术治疗早期胃癌术中创伤及术后康复相差无几,但前者可导致患者术后并发症发生率升高,于ESD术后3周内追加腹腔镜手术的安全性相对更佳。
Objective To observe the perioperative indicators and complications of endoscopic mucosal dissection(ESD)and laparoscopic radical gastrectomy for early gastric cancer in patients.Method A retrospective analysis was conducted on the clinical data of 98 patients with early gastric cancer who underwent surgical treatment in our hospital from May 2019 to May 2022.They were divided into a study group and a control group based on different surgical procedures.The study group had 49 patients and the control group had 55 patients.The study group received ESD and laparoscopic radical gastrectomy,while the control group received laparoscopic radical gastrectomy.The perioperative bleeding volume and the time taken for the first occurrence of bowel sounds were compared between the two groups,and the impact of laparoscopic radical gastrectomy at different time intervals after ESD on the incidence of complications was analyzed in the research group.Result There was no statistically significant difference in perioperative indicators such as intraoperative bleeding volume,duration of first bowel sound appearance,and duration of hospital observation between the two groups(P>0.05);The incidence of postoperative complications in the first,third,and sixth weeks of the study group was lower than that in the other weeks(P<0.05).Conclusion The addition of laparoscopic radical gastrectomy to ESD is similar to laparoscopic radical gastrectomy in the treatment of early gastric cancer in terms of intraoperative trauma and postoperative recovery.However,the former can lead to an increased incidence of postoperative complications in patients,and the safety of adding laparoscopic surgery within three weeks after ESD is relatively better.
作者
宋少永
闫志伟
毕海山
SONG Shaoyong;YAN Zhiwei;BI Haishan(Department of surgery,People's Hospital of Puyang Hualong District,Puyang,Henan,457000,China)
出处
《新疆医学》
2024年第8期972-975,共4页
Xinjiang Medical Journal
关键词
内镜下黏膜剥离术
腹腔镜手术
胃癌根治术
围术期
并发症
Endoscopic mucosal dissection
Laparoscopic surgery
Radical gastrectomy for gastric cancer
Perioperative period
complication
作者简介
宋少永,男,主治医师,研究方向:普通外科方面。
