论文部分内容阅读
目的探讨腹腔镜辅助胃癌根治术治疗老年胃癌患者的临床疗效及安全性。方法选取2012年3月至2014年3月在南阳市中心医院接受胃癌手术的80例老年患者,随机分为研究组和对照组,研究组行腹腔镜辅助胃癌根治术,对照组行传统的开腹手术,比较2组手术时间、术中输血量等一般指标,评价临床疗效及并发症等情况。结果研究组术中失血量、肛门排气时间、住院时间、下床时间及首次进流食时间等均少于对照组(P<0.05),对比差异有统计学意义。研究组并发症发生率10.0%,远低于对照组的17.5%(P<0.05)。2组临床有效率对比无显著性差异(P>0.05)。结论腹腔镜辅助胃癌根治术与传统的开腹手术有相似的疗效,但腹腔镜辅助胃癌根治手术具有显著的微创优势,对减少因手术时间、手术创伤带来的根治术后并发症发生风险有重要的价值,有助于改善预后,促进患者尽早转入康复治疗。
Objective To investigate the clinical efficacy and safety of laparoscopic-assisted radical gastrectomy in the treatment of elderly patients with gastric cancer. Methods Eighty elderly patients who underwent gastric cancer surgery from March 2012 to March 2014 in Nanyang Central Hospital were randomly divided into study group and control group. The study group laparoscopic assisted radical gastrectomy and the control group received traditional open Abdominal surgery, comparing two groups of operation time, intraoperative blood transfusion and other general indicators, evaluation of clinical efficacy and complications. Results The blood loss, anal exhaust time, hospitalization time, time to bed and time to first inflow were less in the study group than those in the control group (P <0.05). The difference was statistically significant. The complication rate in the study group was 10.0%, much lower than that in the control group (17.5%, P <0.05). There was no significant difference in clinical efficiency between the two groups (P> 0.05). Conclusions Laparoscopic assisted radical gastrectomy has a similar curative effect as traditional laparotomy. However, laparoscopic-assisted radical gastrectomy has significant advantages in minimally invasive operation and reduces the risk of postoperative complications due to operation time and surgical trauma Has important value, helps to improve the prognosis, promotes the patient to move to the rehabilitation treatment as soon as possible.