完全腹腔镜下全胃切除术治疗胃上部癌的安全可行性及近期疗效分析.docVIP

完全腹腔镜下全胃切除术治疗胃上部癌的安全可行性及近期疗效分析 　　[摘要] 目的 探讨完全腹腔镜下全胃切除术治疗胃上部癌的安全可行性及近期疗效。 方法 选取2012年1月～2015年6月本院收治的100例进行手术治疗的胃上部癌患者作为研究对象，根据手术方式分为观察组和对照组，各50例。观察组采用完全腹腔镜下行全胃切除术，对照组采用开腹全胃切除术。比较两组的术中出血量、淋巴结清扫个数、术后疼痛评分、排气恢复时间、住院时间及并发症发生率。 结果 观察组的术中出血量显著少于对照组，术后疼痛评分显著低于对照组，排气恢复时间和住院时间显著短于对照组，差异有统计学意义（P0.05）。观察组的并发症发生率为4%，显著低于对照组的18%，差异有统计学意义（P0.05）。 结论 在完全腹腔镜下对胃上部癌患者进行全胃切除术具有较高的安全性，近期疗效显著。 　　[关键词] 胃上部癌；腹腔镜；全胃切除术；近期疗效 　　[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-4721（2016）04（b）-0054-03 　　[Abstract] Objective To explore the safety feasibility and early effect of totally laparoscopic gastrectomy in the treatment of upper gastric cancer. Methods 100 upper gastric cancer patients underwent surgery from January 2012 to July 2015 in our hospital were selected and divided into the observation group and the control group according to the surgery method，each group was 50 cases.The observation group was treated with totally laparoscopic gastrectomy，the control group was treated with open total gastrectomy.Amount of bleeding during operation，the number of lymph node cleaning，postoperative pain score，exhaust recovery time，hospital stay and the incidence rate of complication in the two groups was compared. Results Amount of bleeding during operation in the observation group was less than that in the control group，postoperative pain score in the observation group was lower than that in the control group，exhaust recovery time，hospital stay in the observation group was shorter than that in the control group，with significant difference （P0.05）.The incidence rate of complication in the observation group was 4%，which was lower than 18% in the control group，with significant difference （P0.05）. Conclusion The safety of totally laparoscopic gastrectomy in the treatment of upper gastric cancer is higher，and the early effect is significant. 　　[Key words] Upper gastric cancer；Laparoscope；Total gastrectomy；Early effect 　　胃上部癌是临床较为常见的消化道肿瘤，多采取手术治疗[1]。近年来，随着腹腔镜设备及技术的不断发展，腹腔镜在胃上部癌手术治疗中的应用范围逐渐扩大，其治疗效果也得到了临床的一致认可