上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2014年
15期
51-54
,共4页
腹腔镜手术%胃癌%治疗效果
腹腔鏡手術%胃癌%治療效果
복강경수술%위암%치료효과
laparoscopic surgery%gastric cancer%treatment effect
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。
目的：分析腹腔鏡輔助胃癌根治術的臨床效果及可行性。方法：收集2010年1月-2012年3月在我院手術的82例胃癌患者資料，分為治療組42例和對照組40例，其中治療組患者接受腹腔鏡手術、對照組患者接受開腹手術，比較兩組患者的治療效果。結果：治療組患者的術中齣血量、腸道功能恢複時間和住院時間均顯著少于對照組（P均＜0.05），而淋巴結清掃數和後期併髮癥則與對照組無顯著差異。兩組患者均無術中死亡病例。隨訪54箇月，治療組患者死亡4例、帶瘤生存6例，對照組患者死亡5例、帶瘤生存4例，也都無顯著差異。結論：與開腹手術相比，腹腔鏡輔助胃癌根治術的臨床效果相似，但具有創傷較少、併髮癥較少、安全等優點，患者痊愈速度更快，可明顯提高患者的生存質量以及預後，值得臨床推廣。
목적：분석복강경보조위암근치술적림상효과급가행성。방법：수집2010년1월-2012년3월재아원수술적82례위암환자자료，분위치료조42례화대조조40례，기중치료조환자접수복강경수술、대조조환자접수개복수술，비교량조환자적치료효과。결과：치료조환자적술중출혈량、장도공능회복시간화주원시간균현저소우대조조（P균＜0.05），이림파결청소수화후기병발증칙여대조조무현저차이。량조환자균무술중사망병례。수방54개월，치료조환자사망4례、대류생존6례，대조조환자사망5례、대류생존4례，야도무현저차이。결론：여개복수술상비，복강경보조위암근치술적림상효과상사，단구유창상교소、병발증교소、안전등우점，환자전유속도경쾌，가명현제고환자적생존질량이급예후，치득림상추엄。
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 signiifcantly 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 signiifcant 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 signiifcant 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 extensive application.
