微创小切口胃癌根治术与传统开腹手术的临床对比研究

目的通过经腹胃癌根治微创小切口手术的尝试,探讨我国胃癌患者外科小切口微创手术应用及效果,寻求结合中国国情的胃癌患者的微创开腹手术治疗模式。方法对2009年11月～2010年9月期间四川大学华西医院胃肠中心收治的胃癌患者进行经腹根治性外科手术并将其的手术分为微创组和常规切口组,且比较住院时间、手术切口大小、手术后并发症等指标之间的差异。结果从住院总时间及伤口愈合时间上看2组差异无统计学意义(P﹥0.05),而术后住院时间上微创组与常规组比较差异有统计学意义(P﹤0.05);从手术切口大小上看,微创组患者切口明显小于常规组(P﹤0.05);术后出血、吻合口瘘和伤口感染的发生率两组差异无统计学意义(P﹥0.05)。结论开腹微创小切口手术的外科治疗对我国胃癌患者是一套具有可行性和安全性的治疗方案。

Clinical Comparative Study of the Small Incision Minimally Invasive and Traditional Open Surgery for Gastric Cancer

OBJECTIVE To explore the applications and effect of minimally invasive surgery in patients with gastric cancer by abdominal incision minimally invasive surgery,to seek treatment modalities combined with Chinese national conditions for minimally invasive abdominal surgery in patients with gastric cancer by abdominal incision minimally invasive surgery.METHODS Divided patients with abdominal surgery and radical surgery admitted from Center of Gastrointestinal from November 2009 to September 2010 in West China Hospital of Sichuan University and compared the differences between indicators such as hospital stay,surgical incision size,complications after surgery.RESULTS There were no significant differences in the 2 groups in hospitalization time and healing time of wound(P﹥0.05);while there were differences in the postoperative hospital time in the minimally invasive group and the conventional group(P﹤0.05);the surgical incision size in the minimally invasive group were significantly smaller than the conventional incision group(P﹤0.05);there were no significant differences in postoperative bleeding,anastomotic leakage and wound infection rate in the 2 groups(P﹥0.05).CONCLUSION Surgical treatment of abdominal minimally invasive surgery is a feasible and safe treatment for gastric cancer in China.