腹腔镜与开腹残胃复发癌根治术的疗效、安全性比较

目的:比较腹腔镜与传统开腹残胃复发癌根治术的疗效,探讨腹腔镜残胃复发癌手术的安全性。方法:选取2012年1月至2016年6月行残胃复发癌根治性手术的24例患者为研究对象,分为腹腔镜组(n=10)与开腹组(n=14)。对比两组手术时间、术中出血量、胃肠道功能恢复时间、首次下床时间、术后住院时间、围手术期并发症等情况。结果:腹腔镜组术中出血量、胃肠道功能恢复时间、首次下床时间少于开腹组(P0.05),手术时间、术后住院时间两组差异无统计学意义(P0.05)。腹腔镜组术后发生1例并发症,开腹组发生3例。结论:腹腔镜手术治疗残胃复发癌较开腹手术具有创伤小、出血少、术后康复快等优点,可进一步推广。

Comparison of efficacy and safety between laparoscopic radical gastrectomy and open surgery for recurrent gastric stump cancer

Objective:To compare the efficacy between laparoscopic radical gastrectomy and open surgery for recurrent gastric stump cancer and evaluate the safety of laparoscopic radical gastrectomy for recurrent gastric stump cancer .Methods:From Jan.2012 to Jun.2016 ,a total of 24 patients who underwent radical surgery for recurrent gastric stump cancer were involved .They were divided into laparoscopic group (10 cases) and laparotomy group (14 cases).The operation time,intraoperative blood loss,gastrointestinal function recovery time,first ambulation time,postoperative hospitalization time and perioperative complications were observed and compared be -tween the two groups .Results:The intraoperative blood loss ,gastrointestinal function recovery time and the first ambulation time of lapa-roscopic group were less than those of laparotomy group (P<0.05).There were no statistically significant differences between the two groups in operative time and postoperative hospitalization time (P>0.05).One and 3 cases of complications occurred in the laparo-scopic group and the laparotomy group respectively .Conclusions:Laparoscopic surgery for recurrent gastric stump cancer has the ad-vantages of minimal invasion ,little blood loss and fast postoperative recovery .It should be further popularized .