胃癌患者微创全胃切除的手术效果研究

Effect of laparoscopic total gastrectomy in patients with gastric cancer

摘要:

探究胃癌患者微创全胃切除的手术效果。方法?选取2015年1月-2018年1月该院收治的132例腹腔镜根治性全胃切除术胃癌患者为研究对象，依据1∶1比例将患者随机分为对照组（P?=66）和观察组（n?=66）。观察组患者给予完全腹腔镜根治性全胃切除术治疗，对照组患者给予腹腔镜辅助根治性全胃切除术治疗。比较两组患者术中情况、术后情况和并发症发生情况。结果?观察组患者的切口长度短于对照组患者，远端切缘、食管空肠吻合时间和总手术时间长于对照组患者，术后镇痛时间短于对照组患者，差异有统计学意义（P?<0.05）。两组患者的肛门首次排气时间、首次进食流质食物、首次进食半流质食物、引流管拔除时间和住院时间比较差异无统计学意义（P?>0.05）。观察组和对照组患者的并发症总发生率分别为21.19%和28.76%，差异有统计学意义（P?<0.05）。结论?完全腹腔镜根治性全胃切除术较腹腔镜辅助根治性全胃切除术治疗胃癌患者术后疼痛时间短，并发症发生率低，但食管空肠吻合时间略长，造成总手术时间延长。

Abstract:

To investigate the effect of laparoscopic total gastrectomy in patients with gastric cancer.?Methods?132 patients underwent laparoscopic radical gastrectomy for gastric cancer from January 2015 to January 2018 were enrolled. Patients were randomly divided into control group (n?=?66) and observation group (n?=?66). Patients in the observation group were given total laparoscopic radical gastrectomy, while patients in control group were given laparoscopic-assisted radical total gastrectomy. The intraoperative situation, postoperative complications and complications of the two groups were compared.?Results?The length of incision in the observation group was shorter than that in the control group. The distal incision, esophageal jejunum anastomosis time and total operation time were longer than those in control group. The postoperative analgesia time was shorter than that in control group, with significant difference (P??0.05). The total complication rates in observation group and control group were 21.19% and 28.76%, respectively, with statistical significance (P?