摘要
目的探讨开腹和腹腔镜在老年胃癌根治术中的治疗效果和安全性。方法选取我院2015年8月至2017年9月行胃癌根治术的60例老年患者,随机分为开腹组和腹腔镜组各30例。腹腔镜组采用腹腔镜胃癌根治术治疗,开腹组于腹部正中切口行胃癌根治术。结果腹腔镜组的手术时间、术中出血量、手术切口长度、术后肛门排气时间、术后下床活动时间、住院时间、术后并发症发生率均优于开腹组,差异有统计学意义(P<0.05)。结论腹腔镜胃癌根治术应用于老年患者中,治疗效果较好,可有效改善各项手术指标,明显降低术后并发症发生率,具有更高的安全性,有利于患者的术后恢复,值得临床应用推广。
Objective To explore the treatment effect and safety of laparotomy and laparoscopy in the radical gastrectomy for elderly patients with gastric cancer. Methods 60 cases of elderly patients undergoing radical gastrectomy for gastric cancer in our hospital from August 2015 to September 2017 were selected and randomly divided into laparotomy group and laparoscopy group, with 30 cases in each group. The laparoscopy group received laparoscopic radical gastrectomy, while the laparotomy group received radical gastrectomy through the median abdominal incision. Results The operation time, intraoperative blood loss, incision length, postoperative anal exhaust time, postoperative ambulation time, hospitalization time and incidence of postoperative complications of the laparoscopy group were better than those of the laparotomy group （P 〈0.05）. Conclusions Laparoscopic radical gastrectomy for gastric cancer has better treatment effect in elderly patients, can effectively improve the operation indicators, significantly reduce the incidence of postoperative complications with higher safety, and be conducive to postoperative recovery of patients, which is worthy of clinicai application and promotion.
作者
杨卓涛
陈晓峰
杨景先
YANG Zhuotao, CHEN Xiaofeng, YANG Jingxian(5^th Department of Surgery, the People＇s Hospital of Raoping Hospital, Chaozhou 515700, Chin)
出处
《临床医学工程》
2018年第3期291-292,共2页
Clinical Medicine & Engineering
关键词
腹腔镜
老年患者
胃癌根治术
开腹
安全性
Laparoscopy
Elderly patient
Radical gastrectomy for gastric cancer
Laparotomy
Safety
