腹腔镜胃癌根治术治疗胃癌的疗效和安全性研究

目的探讨腹腔镜胃癌根治术治疗胃癌的疗效和安全性。方法选取该院2010年12月—2013年5月期间收治的96例胃癌患者,随机均分为对照组和实验组,对照组患者行传统开腹胃癌根治术,实验组患者行腹腔镜胃癌根治术。比较两组患者手术时间、术中出血量、切口长度、淋巴结清扫枚数、术后住院时间和并发症发生率的差异。结果实验组手术时间、术中出血量、切口长度、术后住院时间以及并发症发生率均显著低于对照组,两组比较差异有统计学意义（P〈0.05）。实验组与对照组淋巴结清扫数目差异不大,组间比较差异无统计学意义（P〉0.05）。结论腹腔镜胃癌根治术具有出血少、切口小、恢复快等优点,临床疗效优于传统开腹手术,值得临床推广。

Study on the Efficacy and Safety of Laparoscopic Radical Gastrectomy for Gastric Cancer

Objective To investigate the efficacy and safety of laparoscopic radical gastrectomy for the treatment of gastric cancer. Methods 96 cases of patients with gastric cancer admitted in our hospital from December, 2010 to May, 2013 were randomly divided into the control group and the experimental group. The control group was treated with traditional open radical gastrectomy; and the experimental group was treated with laparoscopic radical gastrectomy. The operative time, intraoperative blood loss, incision length, the amount of cleaned lymph nodes, postoperative length of stay and postoperative complication rate of two groups were compared. Results The operative time, intraoperative blood loss, incision length, postoperative length of stay and postoperative complication rate of the experimental group were significantly lower than those of the control group, the differences were statistically significant（P〈0.05）. The difference in the amount of cleaned lymph nodes between the experimental group and the control group was not statistically significant（P〉0.05）. Conclusion Laparoscopic radical gastrectomy has the advantages of less blood loss, smaller incisions, faster recovery and so on, and its efficacy is better than that of traditional open radical gastrectomy, which is worthy of application in clinical practice.