CAJ | 학술논문

目的：探讨损伤控制外科及加速康复外科理念在腹腔镜胃癌根治术中的应用价值。方法回顾性分析2013年2月-2014年2月实施腹腔镜胃癌根治术280例的临床资料，140例采用损伤控制外科及加速康复外科治疗方法作为观察组，140例采用传统治疗方法作为对照组，比较两组患者术后肛门通气时间、术后住院时间、住院费用和术后并发症发生情况。结果与对照组比较，观察组术后肛门通气早、术后住院时间短、住院费用降低（P＜0．05），并不增加手术相关并发症的发生率（P＞0．05）。结论损伤控制外科及加速康复外科理念用于腹腔镜胃癌患者安全可行、有效，可加速患者的术后康复过程，与传统方法比较具有一定的优势，值得临床推广应用。
목적：탐토손상공제외과급가속강복외과이념재복강경위암근치술중적응용개치。방법회고성분석2013년2월-2014년2월실시복강경위암근치술280례적림상자료，140례채용손상공제외과급가속강복외과치료방법작위관찰조，140례채용전통치료방법작위대조조，비교량조환자술후항문통기시간、술후주원시간、주원비용화술후병발증발생정황。결과여대조조비교，관찰조술후항문통기조、술후주원시간단、주원비용강저（P＜0．05），병불증가수술상관병발증적발생솔（P＞0．05）。결론손상공제외과급가속강복외과이념용우복강경위암환자안전가행、유효，가가속환자적술후강복과정，여전통방법비교구유일정적우세，치득림상추엄응용。
Objective To investigate the application of damage control surgery and fast tract surgery in patients with laparo-scopic radical gastrectomy.Methods A retrospective analysis of 280 patients who underwent laparoscopic radical gastrectomy from February 2013 to February 2014 was carried out.140 cases with damage control surgery and fast tract surgery treatment were divided in-to the experimental group,140 cases with the traditional treatment was divided into the control group.The postoperative anal ventilation time,postoperative hospital stay, cost of hospitalization and postoperative complications were observed.Results Compared with the control group,damage control surgery and fast tract surgery group had early postoperative anal vent,shorter postoperative hospital stay, reduced hospital costs (P<0.05),not increased the incidence of surgery-related complications (P>0.05).Conclusion Application of damage control surgery and fast tract surgery in patients underwent laparoscopic radical gastrectomy is safe,feasible and effective.It can accelerate the rehabilitation process of patients after surgery,compared with the traditional method has certain advantages,is worthy of clinical application.