摘要
目的 探讨进展期胃癌采用网膜囊外入路全腹腔镜胃癌根治术的临床效果。方法 选取90例进展期胃癌患者,根据治疗方法分为2组各45例。对照组接受开腹胃癌根治术,观察组接受网膜囊外入路全腹腔镜胃癌根治术。比较2组切口长度、手术时间、术中失血量、术后下床活动时间、住院时间、住院费用、并发症发生率、复发率;随访1年,统计2组生存率。结果 2组手术时间比较差异无统计学意义(P>0.05);观察组切口长度、术中失血量、术后下床活动时间、住院时间显著优于对照组,住院费用显著高于对照组(P<0.05);观察组并发症发生率4.44%,显著低于对照组17.78%(P<0.05);观察组术后6个月无复发病例,对照组复发率4.44%,差异无统计学意义(P>0.05);随访1年,观察组生存率为95.35%(41/43),对照组生存率为97.78%(44/45),差异无统计学意义(P>0.05)。结论 进展期胃癌采用网膜囊外入路全腹腔镜胃癌根治术安全可靠,可缩短切口长度,减少术中失血量,促进患者恢复。
Objective To explore the clinical effect of total laparoscopic radical gastrectomy by extracapsular reticular approach in the treatment of patients with advanced gastric cancer.Methods A total of 90 patients with advanced gastric cancer were divided into two groups according to therapeutic method,with 45 cases in each group.Control group was treated with radical gastrectomy,while observation group was treated with total laparoscopic radical gastrectomy by extracapsular reticular approach.The length of incision,operation time,intra-operative blood loss,time to get out of bed after operation,hospitalization time,hospitalization cost,incidence rate of complications and recurrence rate were compared between two groups.The survival rate of the two groups was compared after one year of follow up.Results There was no significant difference in operation time between the two groups(P>0.05).The length of incision,intra-operative blood loss,time to get out of bed after operation and hospitalization time in the observation group were significantly better than those in the control group,and the hospitalization cost was significantly higher than that in the control group(P<0.05).The incidence rate of complications in the observation group was 4.44%,which was significantly lower than 17.78%in the control group(P<0.05).There was no recurrence case in the observation group at 6 months after operation,but the recurrence rate of the control group was 4.44%,and there was no significant difference between the two groups(P>0.05).The survival rate of the observation group was 95.35%(41/43),which showed no significant difference when compared to 97.78%of the control group(44/45)(P>0.05).Conclusion Total laparoscopic radical gastrectomy by extracapsular reticular approach is safe and reliable in treating patients with advanced gastric cancer,which can shorten the length of incision,reduce intra-operative blood loss and promote the recovery of patients.
作者
陈勇
马爱宁
孙力
CHEN Yong;MA Aining;SUN Li(Department of General Surgery,Binzhou People's Hospital,Xianyang,Shaanxi,713500;Department of Gastroenterology,Xijing Hospital,Xi'an,Shaanxi,710032)
出处
《实用临床医药杂志》
CAS
2019年第13期67-70,共4页
Journal of Clinical Medicine in Practice
关键词
网膜囊外入路
进展期胃癌
全腹腔镜胃癌根治术
失血量
生存率
extracapsular reticular approach
advanced gastric cancer
total laparoscopic radical gastrectomy
amount of blood loss
survival rate
