进展期胃癌行腹腔镜辅助小切口根治手术的临床分析(1)
[摘要] 目的 探讨对进展期胃癌患者行腹腔镜辅助小切口根治手术的临床效果。方法 整群选取2012年6月—2014年12月该院收治的48例进展期胃癌患者为研究对象，随机将其分为治疗组和对照组，每组24例患者。治疗组采用腹腔镜下辅助小切口胃癌根治术进行治疗，对照组采用传统的开腹手术进行治疗。比较两组患者术后出血量、住院时间、清除淋巴结数量、并发症等情况。结果 通过手术治疗，两组患者所用手术时间和清扫淋巴结数量差异无统计学意义(P>0.05)。但治疗组术中出血两明显比对照组少，且住院时间和术毕至首次排气时间都比对照组短，治疗组术后并发症发生率也明显低于对照组，差异有统计学意义(P<0.05)。 结论 使用腹腔镜辅助小切口根治术治疗进展期胃癌病症，具有临床效果好、并发症少、术后恢复快等优点，值得在临床上大力推广应用。
[关键词] 进展期胃癌；腹腔镜；小切口根治手术
[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-0742(2015)05(a)-0062-02
Advanced gastric cancer line laparoscopic assisted small incision of radical surgery clinical analysis
WU Li-ge
Department of general surgery， Jilin Provincial Public Security Frontier Corps Hospital of Changchun，Changchun Jilin Provihce， 130051China
[Abstract] Objective To study the line of laparoscopic assisted small incision in patients with advanced gastric cancer radical surgery clinical effect.Methods In June 2012 to December 2014， our hospital of 48 patients with advanced gastric cancer as the research object， the random divided into treatment group and control group， 24 patients in each group. The treatment group used laparoscopic assisted small incision to treat gastric cancer radical， the control group with traditional open operation for treatment. Compare two groups of patients with postoperative blood loss， hospital stay， remove lymph node number， complications， and so on and so forth. Results Through surgical treatment， two groups of patients with the operation time and cleaning the number of lymph nodes was no significant difference (P>0.05). But intraoperative bleeding in the two treatment group was obviously less than control group， and the length of hospital stay and finish for the first time to exhaust time is shorter than the control group， the incidence of postoperative complications and treatment group was obviously lower than the control group， the difference is statistically significant (P<0.05).Conclusion Laparoscopic assisted small incision radical treatment of advanced gastric cancer symptoms， has a good clinical effect， and the advantages of fewer complications， and postoperative recovery fast， is worth the clinical promoted application.
[Key words] Advanced gastric cancer； Laparoscope； Small incisions radical surgery
胃癌是比较常见的恶性肿瘤之一，居于恶性肿瘤发病率和死亡率的首要位置[1]。该研究整群选取2012年6月—2014年12月间收治的48例进展期胃癌患者为研究对象，以腹腔镜下小切口根治术治疗进展期胃癌患者为研究视角，判断这种手术方法的特点和优点，具体情况如下。
1 资料与方法
1.1 一般资料
回顾分析该院收治的48例进展期胃癌患者临床治疗，所有患者均给予胃镜检查和病理检查确诊，且采用CT检查被确诊没有出现癌灶远离转移的情况。随机把46例患者分为治疗组和对照组。治疗组24例患者中，男性14例，女性10例，患者的年龄在39～73岁，平均年龄为(51.8±3.2)。对照组24例患者中，男性13例，女性11例，患者的年龄在40～71岁，平均年龄为(51.3±3.4)岁。经过比较，两组患者的性别、年龄等基础资料差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴立格)
[关键词] 进展期胃癌；腹腔镜；小切口根治手术
[中图分类号] R735.2 [文献标识码] A [文章编号] 1674-0742(2015)05(a)-0062-02
Advanced gastric cancer line laparoscopic assisted small incision of radical surgery clinical analysis
WU Li-ge
Department of general surgery， Jilin Provincial Public Security Frontier Corps Hospital of Changchun，Changchun Jilin Provihce， 130051China
[Abstract] Objective To study the line of laparoscopic assisted small incision in patients with advanced gastric cancer radical surgery clinical effect.Methods In June 2012 to December 2014， our hospital of 48 patients with advanced gastric cancer as the research object， the random divided into treatment group and control group， 24 patients in each group. The treatment group used laparoscopic assisted small incision to treat gastric cancer radical， the control group with traditional open operation for treatment. Compare two groups of patients with postoperative blood loss， hospital stay， remove lymph node number， complications， and so on and so forth. Results Through surgical treatment， two groups of patients with the operation time and cleaning the number of lymph nodes was no significant difference (P>0.05). But intraoperative bleeding in the two treatment group was obviously less than control group， and the length of hospital stay and finish for the first time to exhaust time is shorter than the control group， the incidence of postoperative complications and treatment group was obviously lower than the control group， the difference is statistically significant (P<0.05).Conclusion Laparoscopic assisted small incision radical treatment of advanced gastric cancer symptoms， has a good clinical effect， and the advantages of fewer complications， and postoperative recovery fast， is worth the clinical promoted application.
[Key words] Advanced gastric cancer； Laparoscope； Small incisions radical surgery
胃癌是比较常见的恶性肿瘤之一，居于恶性肿瘤发病率和死亡率的首要位置[1]。该研究整群选取2012年6月—2014年12月间收治的48例进展期胃癌患者为研究对象，以腹腔镜下小切口根治术治疗进展期胃癌患者为研究视角，判断这种手术方法的特点和优点，具体情况如下。
1 资料与方法
1.1 一般资料
回顾分析该院收治的48例进展期胃癌患者临床治疗，所有患者均给予胃镜检查和病理检查确诊，且采用CT检查被确诊没有出现癌灶远离转移的情况。随机把46例患者分为治疗组和对照组。治疗组24例患者中，男性14例，女性10例，患者的年龄在39～73岁，平均年龄为(51.8±3.2)。对照组24例患者中，男性13例，女性11例，患者的年龄在40～71岁，平均年龄为(51.3±3.4)岁。经过比较，两组患者的性别、年龄等基础资料差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴立格)
参见：首页 > 医疗版 > 疾病专题 > 消化内科 > 胃疾病 > 胃癌