摘要
目的 探究腹腔镜辅助胃癌根治术和传统开腹胃癌根治术的治疗效果差异。方法 回顾性分析2018年1月—2023年12月在忠县第二人民医院就诊的54例进展期胃癌患者的病历资料,根据不同的手术方式分为试验组(n=28)和对照组(n=26),比较两组研究对象的基本情况、肿瘤定位、手术资料、术后指标及病理结果。结果 两组在肿瘤部位、胃切除术类型、重建类型等方面比较,差异无统计学意义(均P>0.05);试验组的手术时间长于对照组,出血量少于对照组,切口长度短于对照组,差异均有统计学意义(t=-8.778、-27.742、-6.305,均P<0.05)。试验组的下床活动时间短于对照组(t=-30.625)、术后可以进食流质食物的时间短于对照组(Z=-5.371)、术后首次肛门排气时间短于对照组(Z=-4.614)、术后住院时间短于对照组(t=-30.703)(均P<0.05);试验组的术后镇痛药物使用次数与对照组比较,差异无统计学意义(P>0.05);试验组的并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.987,P=0.026)。两组的最大肿瘤直径、分化程度、TNM分期比较,差异无统计学意义(均P>0.05),但试验组的淋巴结检出数量多于对照组(t=6.037,P<0.05)。结论 腹腔镜辅助胃癌根治术治疗胃癌出血量少,并发症少,安全性高,淋巴结清扫数量多,术后恢复快,是未来临床发展的趋势。
Objective To analyze the therapeutic efficacy differences between laparoscopic assisted radical gastrectomy and traditional open radical gastrectomy for gastric cancer.Methods The retrospective medical records of 54 advanced gastric cancer patients in the Second People’s Hospital of Zhong County from January 2018 to December 2023 were analyzed,according to different surgical methods,they were divided into test groups(n=28)and control group(n=26),to compare the basic information,tumor location,surgical data,postop-erative indicators and pathological results of the 2 groups.Results The differences between the 2 groups in tumor site,gastrectomy type,reconstruction type,were not statistically significant(both P>0.05);the operation time was longer than the control group and less than the incision length was statistically significant(t=-8.778,-27.742,-6.305,both P<0.05).The exercise time of the test group was shorter than the control group(t=-30.625),liquid food shorter(Z=-5.371),first anal discharge shorter(Z=-4.614),postoperative hospitalization shorter(t=-30.703)(both P<0.05);The number of postoperative analgesic drug use in the test group showed no difference with the control group(P>0.05);The incidence of complications in the test group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.987,P=0.026).The maximum tumor diameter,differentiation,and TNM stage between the two groups(both P>0.05),but the number of lymph nodes in the test group was more than that in the control group(t=6.037,P<0.05).Conclusions Laparoscopic assisted radical gastrectomy for gastric cancer has the advantages of low bleeding,fewer complications,high safety,more lymph node dissection,and fast postoperative recovery,making it a future clinical development trend.
作者
陈林
叶鹏
熊华利
无
CHEN Lin;YE Peng;XIONG Hua-li(Office of Emergency Management of Center for Disease Control and Prevention of Zhong County,Chongqing 404700,China;不详)
出处
《慢性病学杂志》
2024年第12期1766-1770,共5页
Chronic Pathematology Journal
关键词
进展期胃癌
腹腔镜手术
开腹手术
对比分析
Advanced gastric cancer
Laparoscopic surgery
Open abdominal surgery
Comparative analysis
作者简介
通信作者:陈林,大学本科,副主任医师,研究方向:胃肠外科,E-mail:502299939@qq.com
