摘要
目的比较腹腔镜胃癌根治术与开腹手术的疗效及安全性。方法将我院2011年1月~2014年1月住院治疗的胃癌根治术患者45例作为研究对象,根据治疗方法不同分为两组,其中23例行腹腔镜胃癌根治术,设为腹腔镜组,其余22例行开腹手术为开腹组,比较两组的平均手术时间、术中出血量、切口长度、术后住院时间;术后并发症情况：包括吻合口瘘、肺部感染、粘连性肠梗阻、切口感染情况。结果腹腔镜组患者的术后住院时间显著短于开腹组,腹腔镜组患者的切口长度显著短于开腹组,腹腔镜组患者的术中出血量显著少于开腹组,差异有统计学意义（P〈0.05）,但腹腔镜组的手术时间显著长于开腹组,差异有统计学意义（P〈0.05）。腹腔镜组术后并发症的发生率13.0%,显著低于开腹组,组间比较,差异有统计学意义（P〈0.05）。结论腹腔镜胃癌根治术较开腹手术在术后恢复、并发症方面更具优势。与开腹手术相比,腹腔镜胃癌根治术具有创伤小、失血量少、术后恢复快等优点,值得推广和应用。
Objective To compare the efficacy and safety of laparoscopic radical operation and open operation for gas- tric cancer. Methods In our hospital from January 2011 to January 2014, 45 cases of hospitalized patients with gastric cancer in patients were selected as the object of study, they were divided into two groups, including 23 cases of laparo- scopic radical gastrectomy for gastric cancer, as the laparoscopic group, the other 22 cases underwent open operation for the laparotomy group, average operation time, amount of bleeding during the operation, incision length, postoperative hospitalization time of two groups, postoperative complications including anastomotic fistula, pulmonary infection, adhe- sive intestinal obstruction, infection of incision were compared between two groups. Results The postoperative hospital stay of laparoscopic group patients was significantly shorter than the open group, length of incision of laparoscopy group were significantly shorter than the open group, amount of bleeding in operation of the patients in laparoscopic group was significantly less than the open surgery group, the difference was statistically significant （P〈0.05）, hut the operation time of laparoseopic group was significantly longer than the open surgery group, there was statistical significant differ- ences （P〈0.05）. The postoperative complication rate of laparoseopic group was 13.0%, was significantly lower than the open group, the difference was statistically significant （P〈0.05）. Conclusion Laparoseopie radical gastrectomy for gastric cancer has more advantage in recovery, postoperative complications compared with open operation. Compared with open operation, laparoseopic radical gastrectomy has less trauma, less blood loss, faster postoperative recovery and other ad- vantages, is worthy of promotion and application.
出处
《中国现代医生》
2015年第17期34-37,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2011KYA112)
关键词
腹腔镜胃癌根治术
开腹手术
并发症
安全性
Laparoscopic radical resection of gastric cancer
Abdominal operation
Complication
Safety
