2017 年第 2 期 第 15 卷

全腹腔镜与腹腔镜辅助全胃切除术对胃上部癌患者的治疗效果对比

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关键词：胃上部癌全腹腔镜腹腔镜辅助全胃切除术治疗效果

• 摘要：
• 【摘要】分析全腹腔镜与腹腔镜辅助全胃切除术对胃上部癌患者的治疗效果。方法：选择我院2015年1月至2016年6月收治的94例胃上部癌患者，对照组（n=47）为行腹腔镜辅助全胃切除术，研究组（n=47）为行全腹腔镜全胃切除术，比较两组术后凝血功能指标水平、视觉模拟评分（VAS）、手术、术后恢复及并发症情况。结果：术后，两组凝血功能指标比较无差异（P>0.05）；研究组VAS评分低于对照组，比较差异明显（P<0.05）；研究组术中出血量、切口长度优于对照组，比较差异显著（P>0.05）；两组手术时间、淋巴结清扫数目比较无差异（P>0.05）；研究组下床活动时间、肛门排气时间、进食流质时间、住院时间优于对照组，比较差异显著（P<0.05）；两组并发症率比较无差异（P>0.05）。结论：全腹腔镜全胃切除术对胃上部癌患者的治疗效果优于腹腔镜辅助全胃切除术，值得肯定。
• objective: to analyze the therapeutic effect compared with total laparoscopic and laparoscopic assisted total gastrectomy in patients with upper stomach cancer. Methods: 94 cases of patients with upper stomach cancer from January 2015 to June 2016 were treated in our hostipal, the control group (n=47)line of laparoscopic assisted total gastrectomy, the test group(n=47) line total laparoscopic total gastrectomy, two groups’ of postoperative blood coagulation function index level, visual analogue scale (VAS), surgery, postoperative recovery and complications were compared. Results:After surgery, two groups of blood coagulation function index was no difference (P>0.05); Test group VAS score lower than the control group, the more obvious difference (P<0.05); the intraoperative blood loss, length of incision of test groupwerr better than that of control group, compared significant difference (P>0.05); Two groups of operation time, number of lymph node cleaning were no difference (P>0.05); Test of bed activity time, anal exhaust time, eating liquid time, length of hospital stay were better than that of control group, the more significant difference (P < 0.05); compared the two groups of complication rate had no difference (P > 0.05). Conclusion: total laparoscopic total gastrectomy in patients with upper stomach cancer treatment effect is superior to the laparoscopic assisted total gastrectomy, worthy of affirmation.