论文部分内容阅读
目的就腹腔镜辅助与开腹近端胃癌根治术进行临床对比。方法选择2008年7月～2011年7月在本院肿瘤科住院化疗的72例胃癌晚期患者,将其随机分为两组,分别是腹腔镜组、开腹组,每组各36例患者。两组患者性别、年龄、病程经统计学处理,差异无显著性意义(P>0.05),具有可比性。36例腹腔镜组患者行腹腔镜辅助近端胃癌根治术,36例开腹组患者行开腹近端胃癌根治术。治疗前根据患者的不同情况采取相应的护理治疗。包括加强营养支持和饮食管理、预防患者出现恶心呕吐、给予健康宣教和化疗及治疗教育、有效的心理干预等。结果 36例开腹组患者的平均手术时间为(174.1±34.8)min,而36例腹腔镜组患者的手术时间为(222.6±34.4)min,由此可见,腹腔镜组的手术时间明显要高于开腹组(P<0.05)。与开腹组相比,腹腔镜组的下床活动时间、术后排便、术后肛门排气时间、术中出血量都要少的多(P<0.05)。两组患者的术后肿瘤复发率、生存率不存在较为显著的差异(P>0.05)。结论腹腔镜辅助胃癌根治术的临床治疗效果不逊于开腹近端胃癌根治术,同时优点也较多,完全满足微创手术的要求和目标,是具有巨大发展可见的技术,值得深入推广。
Objective To compare the clinical efficacy of laparoscopic-assisted radical mastectomy with open radical proximal gastric cancer. Methods Seventy-two patients with advanced gastric cancer who were hospitalized with oncology in our hospital from July 2008 to July 2011 were randomly divided into two groups: laparoscopic group and open group, 36 patients in each group. The two groups of patients gender, age, duration of the disease by statistical analysis, the difference was not significant (P> 0.05), comparable. Laparoscopic assisted radical nephrectomy was performed in 36 cases of laparoscopic patients and radical open radical nephrectomy in 36 cases of open laparotomy. Before treatment, according to the different circumstances of patients to take appropriate care and treatment. Including strengthening nutritional support and dietary management, preventing nausea and vomiting in patients, providing health education, chemotherapy and treatment education, and effective psychological intervention. Results The mean operative time was (174.1 ± 34.8) min in 36 patients with open laparotomy and (222.6 ± 34.4) min in 36 laparoscopic patients, which indicated that laparoscopic surgery time was significantly higher In the open group (P <0.05). Compared with the open group, laparoscopic group out of bed activity time, postoperative defecation, postoperative anal exhaust time, blood loss were less (P <0.05). The postoperative tumor recurrence rate and survival rate of the two groups of patients did not have significant difference (P> 0.05). Conclusion The clinical effect of laparoscopic-assisted radical gastrectomy is not inferior to radical gastrectomy in proximal laparoscopic radical gastrectomy. It also has many advantages and fully meets the requirements and goals of minimally invasive surgery. It is a technology with great development and worthy of further promotion.