腹腔镜与传统开腹根治术治疗进展期胃癌对比研究

腹腔镜与传统开腹根治术治疗进展期胃癌对比研究

秦占川

(赞皇县医院，河北 赞皇 051230)

摘要：目的对比腹腔镜与传统开腹根治术治疗进展期胃癌的临床效果。方法设行腹腔镜下根治术治疗且病历资料完整的胃癌进展期患者40例为治疗组，设立同期行传统开腹根治术治疗进展期胃癌40例为对照组，对比2组手术切口长度、术中出血量、手术时间，术后胃肠功能恢复、下床、进食、住院时间，以及术后并发症发生情况。结果治疗组手术切口长度、术中出血量、手术时间均显著低于对照组(P<0.05)；治疗组术后胃肠功能恢复、下床、进食及住院时间均显著少于对照组(P<0.05);2组术后并发症发生率比较无统计学意义(P>0.05)。结论进展期胃癌患者采用腹腔镜行胃癌根治术,创伤小,术后恢复快,不会增加术后并发症发生风险。

关键词：胃癌；进展期；腹腔镜；开腹根治术

DOI:10.13463/j.cnki.cczyy.2015.06.064

中图分类号：R273文献标志码：A

文章编号：2095-6258(2015)06-1272-03

基金项目：河北省科技成果项目(13010520150066)。

作者简介：秦占川(1963-)，男，主治医师，主要从事消化内科疾病研究。

Laparoscope and traditional laparotomy radical resection in treatment of advanced gastric cancer

QIN Zhanchuan

(Zanhuang Hospital of Hebei Province, Zanhuang 051230, Hebei Province, China)

Abstract：ObjectiveTo compare the clinical effect of laparoscope and traditional laparotomy radical resection in the treatment of advanced gastric cancer. MethodsA total of 40 patients with advanced gastric cancer for the laparoscopic radical resection with complete medical records were included in the study and served as the observation group, while 40 cases at the same stage for the traditional laparotomy radical resection were served as the control group. The surgical incision length, intraoperative amount of bleeding, operation time, the time of postoperative gastrointestinal function recovery, out of bed, feeding, and hospitalization, and postoperative complications in the two groups were compared. ResultsThe surgical incision length, intraoperative amount of bleeding, operation time in the observation group were significantly lower than those in the control group (P<0.05). The time of postoperative gastrointestinal function recovery, out of bed, feeding, and hospitalization in the observation group was significantly less than that in the control group (P<0.05). The comparison of the occurrence rate of postoperative complications between the two groups was not statistically significant (P>0.05). ConclusionThe laparoscopic radical resection for the advanced gastric cancer patients has advantages of small trauma and rapid postoperative recovery with no increasement of the risk of postoperative complications, and is an effective regimen for treating the advanced gastric cancer.

Keywords：gastric cancer; advanced; laparoscope; laparotomy radical resection

胃癌是消化系统常见恶性疾病，在世界范围内恶性肿瘤发病率中居第4位，发病隐匿，确诊时多已进展中晚期，失去了最佳治疗时间[1-5]。笔者为探讨腹腔镜胃癌根治术治疗进展期胃癌的优势，回顾分析于我院行腹腔镜胃癌根治患者的病历资料，并与同期行传统开腹胃癌根治术患者病历资料进行对比。现将结果报道如下。

1资料与方法

1.1一般资料选取2010年1月—2014年1月于我院行腹腔镜下根治术治疗且病历资料完整的胃癌进展期患者40例为治疗组，其中男32例，女8例，年龄42~83岁，平均年龄(60.2±12.1)岁；设同期行传统开腹胃癌根治术治疗的进展期胃癌40例为对照组，其中男31例，女9例，年龄41~84岁，平均年龄(61.1±11.2)岁。……