单极电凝联合Ligasure与超声刀在腹腔镜远端胃癌根治术中临床疗效的对比研究

发布时间：2017-12-30 22:12

本文关键词：单极电凝联合Ligasure与超声刀在腹腔镜远端胃癌根治术中临床疗效的对比研究　出处：《苏州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:比较单极电凝联合Ligasure与超声刀两者在腹腔镜远端胃癌根治术(LADG)中的临床疗效,为单极电凝联合Ligasure的临床应用奠定基础。方法:回顾性分析2012年1月-2014年1月苏州大学附属第一医院112例LADG的临床资料,其中观察组53例以单极电凝联合Ligasure为主要操作器械,对照组59例以超声刀为主要操作器械,比较两组病例手术时间、术中出血量、淋巴结清扫数目、术后引流液量、术后拔管时间、住院天数、胃肠道功能恢复时间和术后并发症方面的差异。结果:观察组手术时间为(131±47.2)min短于对照组(151±51.8)min(P=0.018);观察组术中出血量为(108.2±43.9)m L少于对照组(188.4±51.7)m L(P=0.026);观察组术后引流液量为(216±68)m L少于对照组(272±76)m L(P=0.041);两组在淋巴结清扫数目、术后拔管时间、住院天数、胃肠道功能恢复时间、术后大出血以及肺部感染等并发症方面无统计学差异。结论:以单极电凝联合Ligasure行LADG是安全、可行的,且具有缩短手术时间,减少术中出血的优点。
[Abstract]:Objective: To compare the monopolar electrocoagulation combined with Ligasure and ultrasound knife in both laparoscopic distal gastrectomy (LADG) clinical curative effect, lay the foundation for the clinical application of monopolar electrocoagulation combined with Ligasure. Methods: the clinical data were retrospectively analyzed in First Hospital Affiliated to Suzhou University in January January 2012 -2014 LADG in 112 cases, including 53 cases with monopolar electrocoagulation combined with Ligasure as the main operating instruments of the observation group, 59 cases in the control group with ultrasonic knife as the main operating equipment, the two groups were compared operative time, intraoperative blood loss, number of lymph node dissection, postoperative drainage volume, postoperative extubation time, hospitalization time, differences in gastrointestinal function recovery time and postoperative complications. Results: in the observation group, operation time was (131 + 47.2) min shorter than the control group (151 + 51.8) min (P=0.018); the amount of bleeding was (108.2 + 43.9) m L less than that of the control group (188.4 + 51.7) m L (P=0.026); observation Postoperative drainage fluid volume (216 + 68) m L less than that of the control group (272 + 76) m L (P=0.041); the two groups in the number of lymph node dissection, postoperative extubation time, hospitalization time, gastrointestinal function recovery time, no significant difference in postoperative bleeding and pulmonary infection and other complications conclusion: monopolar electrocoagulation combined with Ligasure for LADG is safe, feasible, and has the advantages of shortening operation time, reduce intraoperative bleeding.

【学位授予单位】：苏州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R735.2

【参考文献】