腹腔镜和开腹手术治疗可手术胃癌的对比性研究.docVIP

精品论文 参考文献 腹腔镜和开腹手术治疗可手术胃癌的对比性研究 1 承德医学院 河北承德 067000；2 朝阳市中心医院 辽宁朝阳 122000 　　摘要：目的：对比腹腔镜和开腹手术治疗可手术胃癌的优劣，为可手术胃癌的治疗提供理论依据。方法：2015年1月至2016年6月，73例拟手术治疗的胃癌患者依据治疗意愿分为两组，观察组（42例）和对照组（31例）分别行腹腔镜、开腹手术治疗，收集并分析中转开腹、根治率、术中出血量、术后首次排气时间、住院时间、术后并发症等情况。结果：观察组1例中转开腹，两组手术根治率接近（92.68%vs93.55%，Pgt;0.05）；与对照组相比，观察组术中出血少、术后首次排气时间和住院时间短、并发症率低（Plt;0.05）；两组并发对症处理后均愈合。结论：可手术胃癌患者腹腔镜手术较开腹手术有出血少、恢复快、并发症率低等优势。 　　关键词：胃癌，可手术；腹腔镜；开腹手术 　　Comparative study of laparoscopic and open surgery in the treatment of gastric cancer 　　Li Hailin1 Yang Dongwei2 　　（1 Chengde Medical College，Chengde，Hebei，067000；2 Central Hospital of Chaoyang City，Chaoyang，Liaoning 122000） 　　Abstract 　　Objective：To compare the advantages and disadvantages of laparoscopic and open surgery in the treatment of operable gastric cancer，and to provide theoretical basis for the treatment of operable gastric cancer.Methods：From January 2015 to June 2016，73 patients with gastric cancer were divided into two groups according to the wishes of the treatment，The observation group（42 cases）and the control group（31 cases）were treated by laparoscopy and laparotomy respectively，collection and analysis of conversion to open surgery，radical rate，the amount of bleeding during operation，the first exhaust time，hospital stay，postoperative complications and so on.Results：1 cases of observation group were converted to open surgery，radical rate of operation was close to two groups（92.68%vs93.55%，Pgt;0.05）；compared with the control group，the observation group was less bleeding，the first exhaust time and hospitalization time were shorter and the complication rate was low（Plt;0.05）；two groups of patients with symptomatic treatment were healed.Conclusion： The advantages of laparoscopic surgery with less bleeding，faster recovery and low complication rate in patients with operable gastric cancer. 　　Key words：Gastric cancer，surgery；Laparoscopy；open surgery 　　 　　 　　可手术胃癌是临床较为常见、对患者身心健康影响不容忽视的一种躯体恶性肿瘤，手术对患者预后的获益已被不少学者所证实，但腹腔镜与开腹手术相比的优劣截止目前仍存在较多争议[1-2]。本研究对比腹腔镜