腹腔镜胃癌根治术与传统开腹手术56例对比分析

发布时间：2018-11-24 14:33

【摘要】：[目的]探讨分析腹腔镜胃癌根治术与传统开腹胃癌根治术治疗胃癌的临床疗效,阐述腹腔镜技术在临床的应用价值和治疗疾病的可行性。[方法]回顾性分析2013年至今我科治疗的56例胃癌患者,其中30例行腹腔镜胃癌根治术,26例行开腹胃癌根治术。患者的选择上,肿瘤生长部位都在胃窦部,且病理学证实为胃腺癌。根据腹腔镜和开腹分成两组,对照组(op组)和实验组(Lap组)。两组患者的年龄,性别及其它基础病无明显差异。对两组患者进行手术后分析,对比其手术时间、术中出血量、切口长度、淋巴结清扫情况、术后并发症等来评价腹腔镜胃癌根治术和开腹胃癌根治术的优缺点,证明腹腔镜胃癌根治术在临床应用的前景。[结果]两组患者都顺利的完成了根治性手术的治疗。我们分别对这两组患者进行了术中后术后情况的观察和对比分析,在手术时间上(P0.05)有显著差异,开腹组要快于腹腔镜组。在切口长度、术中出血、术后恢复及并发症的发生上(P0.05)有统计学差异,腹腔镜组要优于开腹组。在淋巴结清除情况、肿瘤切除情况,术后远期复发情况上(P0.05)无统计学差异,两组手术情况无明显差异。[结论]腹腔镜胃癌根治术与开腹手术相比,在手术切口长度,术中出血、术后恢复及并发症的控制上要优于开腹手术。两种手术在远期疗效上无明显差异,腹腔镜胃癌根治术可以作为一种新的术式推广研究。随着腹腔镜技术的发展及器械的进步和大量的实验研究,其在临床上的应用价值会进一步扩大提高,对医学及患者有着深远的影响。
[Abstract]:[objective] to explore the clinical effect of laparoscopic radical gastrectomy and traditional open radical gastrectomy for gastric cancer, and to expound the clinical application value and the feasibility of laparoscopic technique in the treatment of gastric cancer. [methods] 56 cases of gastric cancer treated in our department from 2013 to now were retrospectively analyzed. 30 cases underwent laparoscopic radical gastrectomy and 26 cases underwent open radical gastrectomy. The tumor was located in the antrum and pathologically proved to be gastric adenocarcinoma. According to laparoscopy and laparotomy were divided into two groups: control group (op group) and experimental group (Lap group). There was no significant difference in age, sex and other underlying diseases between the two groups. To evaluate the advantages and disadvantages of laparoscopic radical gastrectomy and open radical gastrectomy, we compared the operation time, intraoperative bleeding volume, incision length, lymph node dissection and postoperative complications between the two groups. To prove the prospect of laparoscopic radical gastrectomy in clinical application. [results] the two groups of patients successfully completed the treatment of radical surgery. We observed and compared the operation time of the two groups after operation (P0.05), the open group was faster than the laparoscopic group. There were significant differences in incision length, intraoperative bleeding, postoperative recovery and complications (P0.05). The laparoscopy group was better than the open group. There was no significant difference in lymph node clearance, tumor resection and long-term recurrence (P0.05), but there was no significant difference between the two groups. [conclusion] Laparoscopic radical gastrectomy is superior to open surgery in length of incision, bleeding, postoperative recovery and control of complications. There is no significant difference between the two operations in long-term effect. Laparoscopic radical gastrectomy can be used as a new operative method to popularize the study. With the development of laparoscopic technology, the progress of instruments and a large number of experimental studies, its clinical application value will be further expanded and improved, which has a profound impact on medicine and patients.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R735.2

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