腹腔镜根治术与开腹胃癌根治术治疗胃癌的效果对比
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摘要
目的通过对胃癌患者实施不同的根治手术,观察其临床效果,探究不同根治手术的临床特点。方法从来该院诊治的2015年1月—2018年12月的胃癌患者中随机抽取60例,采用随机数字法随机分为对照组30例:实施开腹胃癌根除术,观察组30例:实施腹腔镜根治术,比较两组患者手术各项指标和并发症发生情况。结果观察组第一次肛门排气时间为(4.23±0.88)次,低于对照组(t=9.472,P<0.05),下床活动时间为(3.27±0.72)d,低于对照组(t=10.731,P<0.05),住院时间为(10.75±3.63)d,低于对照组(t=11.645,P<0.05),手术时间为(259.64±17.38)min高于对照组(t=10.542,P<0.05),淋巴结清扫数目为(28.35±13.87)枚高于对照组(t=9.436,P<0.05),创口长度为(6.52±0.64)cm低于对照组(t=11.759,P<0.05),止痛剂使用次数为(1.65±0.72)次低于对照组(t=9.989,P<0.05),术中出血量为(145.38±8.47)m L低于对照组(t=12.906,P<0.05);观察组并发症发生率为6.67%,低于对照组(30.00%)(χ~2=13.248,P<0.05)。结论腹腔镜根治术可以改善患者各项手术指标,降低并发症的发生,是一项值得推广的治疗胃癌的有效方案。
Objective To observe the clinical effect of different radical operations on gastric cancer patients and explore the clinical characteristics of different radical operations. Methods From January 2015 to December 2018, a total of 60 patients with gastric cancer were randomly selected and divided into control group(30 cases, with open gastric cancer eradication) and observation group(30 cases, with laparoscopic radical gastrectomy). The surgical indicators and complications between the two groups were compared. Results The first anal exhaust time of the observation group was(4.23±0.88)times, which was lower than that of the control group(t=9.472, P<0.05). The time of getting out of bed was(3.27±0.72)days, which was lower than that of the control group(t=10.731,P<0.05). The time of hospitalization was(10.75±3.63)days, which was lower than that of the control group(t=11.645, P<0.05). The operation time was(259.64±17.38)minutes, which was longer than that of the control group(t=10.542, P <0.05). And the number of lymph node dissection was(28.35±13.87), which was higher than that of the control group(t=9.436, P<0.05). The length of wound was(6.52±0.64)cm, which was lower than that in the control group(t=11.759,P<0.05). The number of use of analgesics was(1.65±0.72), which was lower than that in the control group(t=9.989,P<0.05). The amount of intraoperative bleeding was(145.38±8.47)mL, which was lower than that in the control group(t=12.906, P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than that in the control group(30.00%)(χ~2=13.248, P<0.05). Conclusion Laparoscopic radical operation can improve the surgical indicators of patients and reduce the incidence of complications. It is an effective treatment for gastric cancer worthy of promotion.
Objective To observe the clinical effect of different radical operations on gastric cancer patients and explore the clinical characteristics of different radical operations. Methods From January 2015 to December 2018, a total of 60 patients with gastric cancer were randomly selected and divided into control group(30 cases, with open gastric cancer eradication) and observation group(30 cases, with laparoscopic radical gastrectomy). The surgical indicators and complications between the two groups were compared. Results The first anal exhaust time of the observation group was(4.23±0.88)times, which was lower than that of the control group(t=9.472, P<0.05). The time of getting out of bed was(3.27±0.72)days, which was lower than that of the control group(t=10.731,P<0.05). The time of hospitalization was(10.75±3.63)days, which was lower than that of the control group(t=11.645, P<0.05). The operation time was(259.64±17.38)minutes, which was longer than that of the control group(t=10.542, P <0.05). And the number of lymph node dissection was(28.35±13.87), which was higher than that of the control group(t=9.436, P<0.05). The length of wound was(6.52±0.64)cm, which was lower than that in the control group(t=11.759,P<0.05). The number of use of analgesics was(1.65±0.72), which was lower than that in the control group(t=9.989,P<0.05). The amount of intraoperative bleeding was(145.38±8.47)mL, which was lower than that in the control group(t=12.906, P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than that in the control group(30.00%)(χ~2=13.248, P<0.05). Conclusion Laparoscopic radical operation can improve the surgical indicators of patients and reduce the incidence of complications. It is an effective treatment for gastric cancer worthy of promotion.
引文
[1]齐勇,吴文涌,孟翔凌,等.手助腹腔镜胃癌D2手术的临床疗效分析[J].中国微创外科杂志,2016,16(2):122-126.
[2]林琳,许庆文,徐飞鹏,等.腹腔镜与开腹根治性全胃切除术并D2淋巴清扫治疗中上部进展期胃癌安全性的研究[J].中华实验外科杂志,2016,33(11):2566-2568.
[3]王敬华.腹腔镜与开腹胃癌根治术治疗进展期胃癌的临床对比评价[J].中国现代医生,2018,56(2):43-49.
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[5]仝德峰,刘江文,孙琳,等.进展期胃癌腹腔镜辅助D2根治术的临床疗效分析[J].中国普通外科杂志,2015,24(8):1201-1204.
[6]汪雪,王梦桥,汪树林.腹腔镜胃癌根治术治疗老年进展期胃癌的临床疗效分析[J].腹腔镜外科杂志,2016,21(10):733-736.
[7]蒋晖,杜军,顾纪明,等.腹腔镜胃癌根治术与开腹胃癌根治术治疗老年胃癌疗效比较[J].新乡医学院学报,2016,33(9):770-773.
[8]吉国锋,季福建,马冲,等.腹腔镜辅助胃癌根治术治疗老年人胃癌临床疗效分析[J].中华老年医学杂志,2016,35(3):292-295.
[9]黄光琳.腹腔镜与开腹根治术对老年胃癌患者的临床疗效比较[J].中国现代普通外科进展,2016,19(8):654-655.
[10]蒋笃均,张跃,孟闯.比较分析开腹胃癌根治术与腹腔镜胃癌根治术治疗老年胃癌的疗效[J].中国医药科学,2018,8(7):243-246.
[11]苏红军,曲少贤.腹腔镜胃癌根治术治疗进展期胃癌的疗效分析[J].中国现代医生,2018,56(10):54-56.
[2]林琳,许庆文,徐飞鹏,等.腹腔镜与开腹根治性全胃切除术并D2淋巴清扫治疗中上部进展期胃癌安全性的研究[J].中华实验外科杂志,2016,33(11):2566-2568.
[3]王敬华.腹腔镜与开腹胃癌根治术治疗进展期胃癌的临床对比评价[J].中国现代医生,2018,56(2):43-49.
[4]王道荣,赵建国,鱼海峰,等.腹腔镜与开腹进展期胃癌D2根治术的临床对照研究[J].中华胃肠外科杂志,2012,15(9):964-966.
[5]仝德峰,刘江文,孙琳,等.进展期胃癌腹腔镜辅助D2根治术的临床疗效分析[J].中国普通外科杂志,2015,24(8):1201-1204.
[6]汪雪,王梦桥,汪树林.腹腔镜胃癌根治术治疗老年进展期胃癌的临床疗效分析[J].腹腔镜外科杂志,2016,21(10):733-736.
[7]蒋晖,杜军,顾纪明,等.腹腔镜胃癌根治术与开腹胃癌根治术治疗老年胃癌疗效比较[J].新乡医学院学报,2016,33(9):770-773.
[8]吉国锋,季福建,马冲,等.腹腔镜辅助胃癌根治术治疗老年人胃癌临床疗效分析[J].中华老年医学杂志,2016,35(3):292-295.
[9]黄光琳.腹腔镜与开腹根治术对老年胃癌患者的临床疗效比较[J].中国现代普通外科进展,2016,19(8):654-655.
[10]蒋笃均,张跃,孟闯.比较分析开腹胃癌根治术与腹腔镜胃癌根治术治疗老年胃癌的疗效[J].中国医药科学,2018,8(7):243-246.
[11]苏红军,曲少贤.腹腔镜胃癌根治术治疗进展期胃癌的疗效分析[J].中国现代医生,2018,56(10):54-56.