完全腹腔镜与腹腔镜辅助进展期远端胃癌根治术临床对照研究.docVIP

完全腹腔镜与腹腔镜辅助进展期远端胃癌根治术临床对照研究 　　[摘要]目的 对比行进展期远端胃癌根治术时采用完全腹腔镜与腹腔镜辅助方法的临床效果。方法 选取2012年1月～2015年1月我院治疗的90例胃癌患者，随机将其分为对照组和观察组各45例，对照组患者进行腹腔镜辅助远端胃根治性切除手术（LADG），观察组患者进行完全腹腔镜远端胃根治性切除手术（TLDG），比较两组患者术中、术后各项指标。结果 观察组手术中出血量[（188.03±23.45）ml]明显少于对照组[（234.86±32.45）ml]，观察组切口长度[（3.46±0.97）cm]明显短于对照组切口长度[（6.37±1.14）cm]，差异有统计学意义（P0.05）。观察组患者住院时间[（10.03±2.24）d]、手术后排气时间[（2.34±0.67）h]、手术后首次下床时间[（1.24±0.32）d]均明显短于对照组患者[（15.78±3.62）d、（4.37±0.97）h、（2.89±0.43）d]。结论 采用TLDG的临床效果明显优于LADG，创伤小，安全、可靠，值得临床上推广应用。 　　[关键词]完全腹腔镜；腹腔镜辅助；远端胃癌根治术；临床对照 　　[中图分类号]R735.2 [文献标识码]A [文章编号]1674-4721（2016）06（b）-0044-03 　　A comparative study of clinical effectiveness of application of complete laparoscopy and laparoscopy-assisted radical distal gastrectomy in treatment of gastric carcinoma 　　CHEN Ya-guang 　　Department of General Surgery，the Second Hospital of Chaoyang City in Liaoning Province，Chaoyang 122000，China 　　[Abstract]Objective To make a comparative analysis of the clinical effectiveness of application of complete laparoscopy and laparoscopy-assisted radical distal gastrectomy in treatment of gastric carcinoma.Methods Altogether 90 cases of gastric carcinoma patients who had been treated from January 2012 to January 2015 in the hospital were selected and randomly divided into Control Group and Observation Group with 45 cases in each group.Control Group were treated with laparoscopy-assisted radical distal gastrectomy；while，the patients in Observation Group were treated with complete laparoscopy.The intra-operation and post-operation indexes of patients in both groups were compared.Results Observation Group showed significantly less intra-operative blood loss [（188.03±23.45） ml vs （234.86±32.45） ml] and shorter incision [（3.46±0.97） cm vs （6.37±1.14） cm] than Control Group with statistically significant （P0.05） between Observation Group and Control Group in the operation duration and number of lymph nodes.The hospitalization time [（10.03±2.24） d]，postoperative exsufflation time [（2.34±0.67） h]，the fir