腹腔镜胃癌根治术治疗进展期胃癌疗效分析.docVIP

腹腔镜胃癌根治术治疗进展期胃癌疗效分析 　　[摘要] 目的 探?腹腔镜胃癌根治术治疗进展期胃癌的疗效，旨在为腹腔镜辅助胃癌根治术的临床推广及应用提供有利的参考依据。 方法 选择2016年1月～2017年1月我院行腹腔镜胃癌根治术患者40例作为观察组，另外选择同期行开腹手术患者40例作为对照组，对比两组的手术效果。 结果 观察组患者的手术时间为（140.5±18.2）min，明显短于对照组，观察组的术中出血量为（132.4±22.6）mL，明显少于对照组，观察组的术后下床活动时间为（2.3±0.7）d，明显短于对照组，两组比较差异有统计学意义（P0.05）。观察组患者无一例出现肺部感染、腹腔感染、肠梗阻，对照组患者出现肺部感染2例、腹腔感染1例、吻合口出血2例、吻合口瘘4例、肠梗阻3例，两组并发症发生率分别为5.0%、30.00%，观察组患者的并发症发生率明显低于对照组，两组比较差异有统计学意义（P0.05）。 结论 腹腔镜胃癌根治术治疗进展期胃癌手术效果确切，较开腹手术具有较多优点，如术中出血少、术后并发症少及术后恢复快等，值得临床广泛推广和应用。 　　[关键词] 腹腔镜胃癌根治术；进展期胃癌；并发症 　　[中图分类号] R735.2 [文献标识码] B [文章编号] 1673-9701（2018）10-0054-03 　　Analysis on the efficacy of laparoscopic radical gastrectomy in the treatment of advanced gastric cancer 　　SU Hongjun QU Shaoxian 　　Department of General Surgery and Gastroenterology， Zhucheng Affiliated Hospital of Weifang Medical University， Zhucheng 262200， China 　　[Abstract] Objective To investigate the curative effect of laparoscopic radical gastrectomy in the treatment of advanced gastric cancer， so as to provide a favorable reference for the clinical application and promotion of laparoscopic radical gastrectomy. Methods From January 2016 to January 2017， 40 patients undergoing laparoscopic radical gastrectomy in our hospital were selected as the observation group. Another 40 patients undergoing laparotomy during the same period were selected as the control group. The surgical results were compared between the two groups. Results The surgery time in the observation group was（140.5±18.2）min， which was significantly shorter than that in the control group. The intraoperative blood loss was（132.4±22.6）mL in the observation group， which was significantly less than that in the control group. The postoperative off-bed activity time was（2.3±0.7）d in the observation group， which was significantly shorter than that in the control group. There was significant difference between the two groups（P 　　[Key words] Laparoscopic radical gastrectomy； Advanced gastric cancer； Complications 　　近年来腹腔镜技术得到飞速发展，腹腔镜辅