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目的探讨分析腹腔镜胃癌D2根治术治疗进展期胃癌的安全性及临床有效性。方法将2014年6月—2016年6月收治的80例进展期胃癌患者随机分为对照组和腹腔镜组各40例,对照组实施开腹手术进行治疗,腹腔镜组实施腹腔镜胃癌D2根治术,比较两组进展期胃癌患者临床疗效、手术切口长度、手术完成时间、术中收集血量、术后胃肠道功能恢复时间;干预前后患者感染征象发生率,采用SPSS12.0软件对数据进行统计分析,计量资料组间比较采用t检验;计数资料采用χ2检验,以P<0.05为差异有统计学意义。结果腹腔镜组进展期胃癌总有效率为95.00%,高于对照组的77.5%,两组比较差异有统计学意义(χ2=5.165,P<0.05);腹腔镜组手术所作切口、手术完成时间、术中收集血量、胃肠道功能恢复时间均短于对照组,两组比较差异均有统计学意义(均P<0.05);腹腔镜组感染征象发生率7.50%,低于对照组的25.00%,差异有统计学意义(χ2=6.213,P<0.05)。结论腹腔镜胃癌D2根治术治疗进展期胃癌的安全性及临床有效性高,可减少感染的发生,手术切口小,完成时间短,出血量少,可加速维持功能康复,值得推广。
Objective To investigate the safety and clinical efficacy of D2 radical laparoscopic gastric cancer in the treatment of advanced gastric cancer. Methods 80 patients with advanced gastric cancer who were admitted to our hospital from June 2014 to June 2016 were randomly divided into control group and laparoscopic group of 40 patients. The control group was treated with laparotomy. The laparoscopic group was treated with D2 laparoscopic gastric cancer The clinical efficacy, length of incision, time of completion of surgery, blood volume collected during operation, recovery time of postoperative gastrointestinal function, incidence of infection signs before and after intervention were compared between two groups of patients with advanced gastric cancer. SPSS12.0 software was used to analyze the data Statistical analysis, measurement data were compared between groups using t test; count data usingχ2 test to P <0.05 for the difference was statistically significant. Results The total effective rate of advanced gastric cancer in laparoscopic group was 95.00%, higher than that in control group (77.5%), the difference was statistically significant (χ2 = 5.165, P <0.05); laparoscopic group incision, , The amount of blood collected during operation and the recovery time of gastrointestinal function were shorter than those in the control group, with significant differences between the two groups (all P <0.05). The incidence of laparoscopic infection was 7.50% 25.00%, the difference was statistically significant (χ2 = 6.213, P <0.05). Conclusion D2 laparoscopic radical gastrectomy for advanced gastric cancer has high safety and clinical efficacy, which can reduce the incidence of infection. The small incision, short completion time and less bleeding can accelerate the maintenance of functional recovery and is worth promoting.