腹腔镜辅助胃癌根治术42例临床效果剖析.docVIP

腹腔镜辅助胃癌根治术42例临床效果剖析 　　摘 要 目的：分析腹腔镜辅助胃癌根治术的临床效果及可行性。方法：收集2010年1月-2012年3月在我院手术的82例胃癌患者资料，分为治疗组42例和对照组40例，其中治疗组患者接受腹腔镜手术、对照组患者接受开腹手术，比较两组患者的治疗效果。结果：治疗组患者的术中出血量、肠道功能恢复时间和住院时间均显著少于对照组（P均0.05），而淋巴结清扫数和后期并发症则与对照组无显著差异。两组患者均无术中死亡病例。随访54个月，治疗组患者死亡4例、带瘤生存6例，对照组患者死亡5例、带瘤生存4例，也都无显著差异。结论：与开腹手术相比，腹腔镜辅助胃癌根治术的临床效果相似，但具有创伤较少、并发症较少、安全等优点，患者痊愈速度更快，可明显提高患者的生存质量以及预后，值得临床推广。 　　关键词 腹腔镜手术 胃癌 治疗效果 　　中图分类号：R730.56； R735.2 文献标识码：B 文章编号：1006-1533（2014）15-0051-04 　　Analysis of the clinical effect of 42 cases of laparoscopy-assisted radical gastrectomy* 　　LI Kun** 　　（People’s Hospital of Yichun City， Jiangxi 336000， China） 　　Abstract Objective： To further study the clinical effects and the feasibility of laparoscopy-assisted radical gastrectomy. Methods： The data on 82 cases of patients with gastric cancer， who received surgical operation from January 2010 to March 2012 in our hospital， were selected and divided into a treatment group with 42 cases and a control group with 40 cases. The patients received a laparoscopic surgery in the treatment group or laparotomy in the control group. The clinical effects were compare between two groups. Results： The intraoperative blood loss， the times for the intestinal function recovery and the hospital stay were significantly less in the treatment group than in the control group （P 0.05） while the number of lymph node cleaning and late complications had no significant difference between two groups. There was no intraoperative death case in two groups. There were 4 cases of death， 6 cases of survival with tumor in the treatment group while 5 and 4 in the control group during 54 months follow-up， which was also no significant difference. Conclusion： The clinical effect of laparoscopy-assisted radical gastrectomy is similar to that of laparotomy， however， the former has such advantages as less trauma， fewer complications， safer and faster recovery of patients， can obviously improve the quality of life and prognosis of patients， and is worthy of extensi