CAJ | 학술논문

目的：探究腹腔镜胃癌D-2根治术的临床疗效。方法随机选自2011年4月～2013年4月在本院诊治的胃癌患者290例，按照随机数字表法分为两组，各145例，研究组予以腹腔镜手术，对照组予以开腹式手术，分析两组患者的术中和术后、并发症及病死率情况。结果研究组术中出血量、胃肠恢复和住院时间均低于对照组，比较差异具有统计学意义（P＜0.05）；研究组的并发症发生率低于对照组，差异具有统计学意义（P＜0.05）；研究组病死率与对照组比较无显著性差异（P＞0.05）。结论针对胃癌患者予以腹腔镜式D2根治术治疗成效显著，手术安全且并发症较少，患者的预后生活质量较好，具有一定临床应用价值。
목적：탐구복강경위암D-2근치술적림상료효。방법수궤선자2011년4월～2013년4월재본원진치적위암환자290례，안조수궤수자표법분위량조，각145례，연구조여이복강경수술，대조조여이개복식수술，분석량조환자적술중화술후、병발증급병사솔정황。결과연구조술중출혈량、위장회복화주원시간균저우대조조，비교차이구유통계학의의（P＜0.05）；연구조적병발증발생솔저우대조조，차이구유통계학의의（P＜0.05）；연구조병사솔여대조조비교무현저성차이（P＞0.05）。결론침대위암환자여이복강경식D2근치술치료성효현저，수술안전차병발증교소，환자적예후생활질량교호，구유일정림상응용개치。
Objective To analyze the efficacy of laparoscopic D-2 radical gastrectomy in the treatment of patients with gastric cancer. Methods 290 patients with gastric cancer were selected in our hospital from April 2011 to April 2013. They were divided into two groups by random number table, 145 cases in each group. The study group was treated with laparoscopic operation. The control group was treated with abdominal surgery. Mortality and complications of the two groups were analyzed during and after surgery. Results The bleeding volume during operation group, gastrointestinal recovery and hospital-ization time in the control group were less than study group.The difference was statistically significant (P<0.05); The incidence of complications occurred and the rate of complicationsin study group was low-er than the control group, there was significant difference(P<0.05);The mortality rate of study group and control group had no significant difference (P>0.05). Conclusion It was effective, safe, less complica-tions for patients with gastric cancer by laparoscopic D-2 radical mastectomy. The prognosis of patients was better. The operation has a certain clinical application value.