论文部分内容阅读
目的探讨腹腔镜辅助远端胃癌D2根治术对进展期胃癌的治疗效果。方法 84例进展期胃癌患者,随机分为对照组和观察组,每组42例。对照组患者接受开腹胃癌D2根治术,观察组患者接受腹腔镜胃癌D2根治术。比较两组患者手术治疗效果。结果对照组手术时间为(188.3±14.5)min,术中出血量为(362.4±36.5)ml,术后肛门排气时间为(4.8±0.4)d,下床活动时间为(4.3±1.2)d。观察组手术时间为(142.3±12.3)min,术中出血量为(135.2±21.3)ml,术后肛门排气时间分别为(2.8±0.6)d,下床活动时间为(2.3±0.8)d。观察组各项指标均显著少于对照组(P<0.05)。对照组并发症发生率为19.0%;观察组并发症发生率为7.1%,观察组患者并发症发生率明显低于对照组(P<0.05)。结论腹腔镜辅助远端胃癌D2根治术治疗进展期胃癌效果显著,治疗安全性高,可在临床中推广应用。
Objective To investigate the therapeutic effect of laparoscopic-assisted distal gastric cancer D2 in the treatment of advanced gastric cancer. Methods 84 patients with advanced gastric cancer were randomly divided into control group and observation group, 42 cases in each group. Patients in the control group received radical D2 surgery for open gastric cancer and patients in the observation group received D2 radical operation for laparoscopic gastric cancer. The surgical treatment effect was compared between the two groups. Results The operation time of the control group was (188.3 ± 14.5) min, the amount of bleeding during the operation was (362.4 ± 36.5) ml, the duration of postoperative anal exhaust was (4.8 ± 0.4) d and the time to bed ambulation was (4.3 ± 1.2) d . The operative time was (142.3 ± 12.3) min in the observation group and (135.2 ± 21.3) ml in the operation group. The time of postoperative anal exhaust was (2.8 ± 0.6) d, and the time to bed ambulation was (2.3 ± 0.8) d . The indicators in the observation group were significantly less than those in the control group (P <0.05). The incidence of complications in the control group was 19.0%. The incidence of complications in the observation group was 7.1%. The incidence of complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusion laparoscopic-assisted D2 distal root canal surgery for advanced gastric cancer has a significant effect, high safety, which can be widely applied in clinic.