中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
92-94,97
,共4页
腹腔镜辅助%胃癌根治性切除术%临床可行性%开腹手术
腹腔鏡輔助%胃癌根治性切除術%臨床可行性%開腹手術
복강경보조%위암근치성절제술%림상가행성%개복수술
Laparoscopic assisted surgery%Radical gastrectomy%Clinical feasibility%Open operation
目的 探讨腹腔镜辅助胃癌根治性切除术的临床可行性和效果. 方法 回顾性分析该院胃肠外科2012年1月—2014年10月收治的91例胃癌根治性手术患者的临床资料,根据手术方式分为腹腔镜组(采用腹腔镜辅助手术46例)、开腹组(采用传统开腹手术治疗 45例) ,比较两组患者的手术情况及术后并发症的发生情况差异. 结果 腹腔镜组的手术时间(192.4±16.6)min显著长于开腹组(P<0.05);腹腔镜组的切口长度显著小于开腹组(P<0.05);腹腔镜组的术中出血量(279.4± 46.3)mL显著小于开腹组(P<0.05);腹腔镜组的术后肛门排气时间、下床活动时间、术后住院时间显著的短于开腹组患者(P<0.05);开腹组术中共清扫淋巴结(18.1±2.2)枚,与腹腔镜组的(17.2±2.5)枚相当(P>0.05). 两组患者91例患者均顺利完成全部手术过程, 腹腔镜组无一例中转开腹手术的患者; 腹腔镜组术后并发症发生率为 3.33%, 明显低于开腹组的23.33%,两组患者间差异有统计学意义(P<0.05). 结论 腹腔镜辅助胃癌根治术可彻底清扫引流淋巴结,减少术中出血及术后并发症,临床疗效肯定.
目的 探討腹腔鏡輔助胃癌根治性切除術的臨床可行性和效果. 方法 迴顧性分析該院胃腸外科2012年1月—2014年10月收治的91例胃癌根治性手術患者的臨床資料,根據手術方式分為腹腔鏡組(採用腹腔鏡輔助手術46例)、開腹組(採用傳統開腹手術治療 45例) ,比較兩組患者的手術情況及術後併髮癥的髮生情況差異. 結果 腹腔鏡組的手術時間(192.4±16.6)min顯著長于開腹組(P<0.05);腹腔鏡組的切口長度顯著小于開腹組(P<0.05);腹腔鏡組的術中齣血量(279.4± 46.3)mL顯著小于開腹組(P<0.05);腹腔鏡組的術後肛門排氣時間、下床活動時間、術後住院時間顯著的短于開腹組患者(P<0.05);開腹組術中共清掃淋巴結(18.1±2.2)枚,與腹腔鏡組的(17.2±2.5)枚相噹(P>0.05). 兩組患者91例患者均順利完成全部手術過程, 腹腔鏡組無一例中轉開腹手術的患者; 腹腔鏡組術後併髮癥髮生率為 3.33%, 明顯低于開腹組的23.33%,兩組患者間差異有統計學意義(P<0.05). 結論 腹腔鏡輔助胃癌根治術可徹底清掃引流淋巴結,減少術中齣血及術後併髮癥,臨床療效肯定.
목적 탐토복강경보조위암근치성절제술적림상가행성화효과. 방법 회고성분석해원위장외과2012년1월—2014년10월수치적91례위암근치성수술환자적림상자료,근거수술방식분위복강경조(채용복강경보조수술46례)、개복조(채용전통개복수술치료 45례) ,비교량조환자적수술정황급술후병발증적발생정황차이. 결과 복강경조적수술시간(192.4±16.6)min현저장우개복조(P<0.05);복강경조적절구장도현저소우개복조(P<0.05);복강경조적술중출혈량(279.4± 46.3)mL현저소우개복조(P<0.05);복강경조적술후항문배기시간、하상활동시간、술후주원시간현저적단우개복조환자(P<0.05);개복조술중공청소림파결(18.1±2.2)매,여복강경조적(17.2±2.5)매상당(P>0.05). 량조환자91례환자균순리완성전부수술과정, 복강경조무일례중전개복수술적환자; 복강경조술후병발증발생솔위 3.33%, 명현저우개복조적23.33%,량조환자간차이유통계학의의(P<0.05). 결론 복강경보조위암근치술가철저청소인류림파결,감소술중출혈급술후병발증,림상료효긍정.
Objective To study the clinical feasibility and efficacy of laparoscope-assisted radical gastrectomy for early and ad-vanced gastric cancer. Methods A retrospective analysis was done on the clinical data of 91 patients with gastric cancer admitted to the Department of Gastrointestinal Surgery from January 2012 and October 2014. According to the treatment regime they were divided into the laparoscopy group in which laparoscope-assisted radical gastrectomy was performed for the 46 patients and the la-parotomy group in which the 45 patients underwent traditional laparotomy. The indicators of the operation and postoperative com-plications were compared between the two groups. Results The operation duration was (192.4±16.6) min in the laparoscopy group, significant less than that in the laparoromy group (P<0.05);the incision length was significantly less in the laparoscopy group than in the laparoromy group (P<0.05);the blood loss was (279.4±46.3)mL, in the laparoscopy group, significant less than that in the laparoromy group (P<0.05). In terms of exhaust time, out-of-bed activity time, lengthy of hospital stay, the laparoscopy group was significantly shorter than the laparotomy group (P<0.05). The number of lymph node dissection was(18.1±2.2) in laparotomy group, similar with that of the laparoscopy group, (17.2 ±2.5), P>0.05. All the 91 patients were treated successfully without conversion from laparoscope-assisted radical gastrectomy to laparotomy surgery. The postoperative complication rate (3.33% vs 23.33%) was significantly lower in the laparoscopy group than in the laparoromy group with statistical difference (P<0.05). Conclusion laparo-scope-assisted radical gastrectomy can dissect draining lymph nodes and reduce blood loss and postoperative complication with exact effect.
