微创医学

目的比较腹腔镜胃癌根治术与开腹胃癌根治术治疗进展期胃癌的疗效及预后。方法按照手术方式将100例胃癌患者分为腹腔镜组与开腹组，每组50例，腹腔镜组接受腹腔镜胃癌根治术，开腹组则给予开腹胃癌根治术治疗，比较两组患者的手术指标、术后并发症发生率及远期生存率。结果腹腔镜组手术时间为（168.11±28.35）min，长于开腹组（P＜0.05），其手术切口为（7.21±1.22）cm，术中出血量为（131.23±26.56）mL，住院时间为（11.38±2.83）d，明显优于开腹组（P＜0.05）；腹腔镜组术后并发症发生率为8.00%，低于开腹组的22.00%（P＜0.05）；两组患者远期生存率及复发率比较，差异无统计学意义（P＞0.05）。结论在进展期胃癌患者的临床治疗中，提倡采用腹腔镜胃癌根治术方案，其对患者机体创伤小、术中出血量少、根治效果好、安全性高、患者术后恢复速度快，预后好。

ObjectiveComparison of the effect and prognosis of laparoscopic gastrectomy versus open gastrectomy in treatment of advanced gastric cancer. Methods100 cases with gastric cancer were divided into the laparoscopic group and the open group according to operation method, 50 cases in each group. The patients of laparoscopic group receired laparoscopic radical gastrectomy, while the open group receivde open radical gastrectomy for gastric cancer.The surgery indicators, the incidence of postoperative complications and long-term survival were compared. ResultsThe operation time of the laparoscopic group was (168.11±28.35) min, longer than that of the open group (P＜0.05). The surgical incision was (7.21±1.22) cm, blood loss was (131.23±26.56) mL, hospitalization time was (11.38±2.83) d, significantly better than those of the open group (P＜0.05). The postoperative complication rate of laparoscopic group was 8.00%, lower than that of open group 22.00% (P＜0.05). The survival and recurrence rate showed no significant difference (P＞0.05) betuseen the two groups. ConclusionsCompared with open surgery, laparoscopic gastrectomy has the advantages of less invasiveness, less blood loss, better cure effect, faster postoperative recovery, worthy of clinical promotion.