腹腔镜辅助手术治疗胃肠道肿瘤的效果研究

目的 比较腹腔镜辅助手术与传统开腹手术治疗胃肠道肿瘤的临床效果.方法 选取2012年8月至2015年8月本院收治的胃肠道肿瘤患者87例,行传统开腹手术治疗43例,纳入对照组,腹腔镜手术治疗44例,纳入观察组.比较两组手术效果及并发症情况.结果 观察组手术时间(109.53± 29.65) min]、术中出血量(35.71 ± 20.16) ml]、切口总长度(38.45± 18.52) mm]、术后排气时间(31.26±6.81)h]、术后进食流食时间(37.43± 5.82)h]、术后卧床时间(20.64±4.22)h]、住院天数(8.17± 1.26)d]均明显少于对照组(P＜ 0.05);观察组并发症发生率4.55％,显著低于对照组的20.93％(P＜0.05).结论 与传统开腹手术相比,腹腔镜辅助手术在缩短胃肠道肿瘤手术时间、减少创伤、提高恢复时间以及降低并发症等方面更具优势,值得在临床上推广应用.

Laparoscopic surgery for gastrointestinal tumors

Objective To evaluate the clinical effect of laparoscopic surgery versus traditional open surgery in the treatment of gastrointestinal tumors.Methods 87 patients with gastrointestinal tumors treated at our hospital from August,2012 to August,2015 were chosen.43 treated with traditional open surgery were set as a control group and 44 laparoscopic surgery an observation group.The operation effect and complications of these two groups were compared.Results The operation time (109.53±29.65) min],intraoperative bleeding volume (35.71 ±20.16) ml],total length of incision (38.45± 18.52)mm],postoperative exhaust time (31.26±6.81) h],recovery time of eating food (37.43±5.82) h],bed time (20.64±4.22)h],and length of hospital stay(8.17±1.26) d] in the observaion group were significantly less than those in the control group (P＜0.05).The incidence of complications was 4.55％ in the observation group and 20.93％ in the control group (P＜0.05).Conclusions Compared with traditional open surgery,laparoscopic surgery in the treatment of gastrointestinal tumors has the advantages of shorter operative time,less trauma,quicker recovery time,and fewer complications,which is worth being clinically generalized.