摘要
目的比较腹腔镜与开腹胃癌根治术的临床优势,并观察患者的近、远期临床疗效。方法选取2012年1月至2013年10月收治的胃癌患者86例,根据术式分为对照组和观察组,两组各43例。对照组应用开腹胃癌根治术,观察组应用腹腔镜胃癌根治术。主要观察手术基本情况、术中清扫淋巴结数目、术后恢复状况、视觉模拟评分(VAS)、并发症。随访一年,观察患者转移、复发及一年生存率。结果观察组术中切口长度和出血量均低于对照组,平均手术时间长于对照组,差异均具有统计学意义(P<0.05);观察组术后通气时间、术后引流拔除时间和术后住院时间均低于对照组,差异具有统计学意义(P<0.05);观察组VAS评分和术后并发症发生率低于对照组,差异具有统计学意义(P<0.05);两组患者术中清扫淋巴结数目个数、远处转移或复发、一年生存率比较,差异无统计学意义(P>0.05)。结论腹腔镜治疗胃癌具有手术创伤小、恢复快的优点,可减少患者术后并发症,且术中清除淋巴结数目、远处转移或复发率以及一年生存率均与开腹胃癌根治术相当,值得在临床上推广应用。
Objective To compare the clinical advantages of laparoscopy and open radical prostatectomy for the treatment of gastric canc-er. To observe the clinical curative effect of the near and future,and to analyze its security. Methods 86 patients with gastric cancer were select-ed in our hospital from January in 2012 to October in 2013,according to the operation methods. All these patients were divided into the observation group and the control group,43 cases each group. The control group applied open prostatectomy radical and the observation group applied laparo-scopic gastric cancer radical. The main operation basic situation,cleaning the number of lymph nodes,visual pain（ VAS）score postoperative re-covery and complications were recorded. Follow-up for a year,the metastasis ,recurrence and one year survival rate were observed. Results The intraoperative incision length and the bleeding of the observation group were lower than the control group,the difference was statistically signif-icant（ P ﹤0. 05）. The average operation time of the observation group was longer than the control group,the difference was statistically signifi-cant（ P ﹤0. 05）. The aeration time,postoperative drainage time and postoperative hospital stay time of the observation group were lower than the control group,the difference was statistically significant（ P ﹤0. 05）. VAS score and postoperative complications incidence of the observation group was lower than the control group,the difference was statistically significant（ P ﹤0. 05）. Compared the cleaning the lymph node number, distant metastasis or recurrence,one year survival rate of two groups,there was no statistically significant difference（ P ﹥0. 05）. Conclusion Laparoscopic treatment of gastric cancer has the advantages of little injury and pain,rapid recovery. The operation can reduce postoperative compli-cations. There was similar with open gastric cancer radical in intraoperative removal of lymph node number,distant metastasis or recurrence and one year survival rate,which was worthy of application in the clinical.
出处
《临床和实验医学杂志》
2015年第5期398-400,共3页
Journal of Clinical and Experimental Medicine
关键词
胃癌
腹腔镜手术
开腹根治术
Gastric cancer
Laparoscopic surgery
Open radical surgery
