腹腔镜与开腹全胃切除术治疗Ⅰ期胃癌的近期疗效对比

张林炜; 朱广伟; 叶建新; 黄永建

doi:10.3971/j.issn.1000-8578.2020.19.1036

腹腔镜与开腹全胃切除术治疗Ⅰ期胃癌的近期疗效对比

A Comparative Study on Short-term Efficacy Between Laparoscopic and Open Total Gastrectomy on Stage Ⅰ Gastric Cancer

摘要

摘要:
目的探讨腹腔镜全胃切除术与传统开腹全胃切除术对Ⅰ期胃癌的近期疗效。
方法回顾性分析89例肿瘤位于近端胃的Ⅰ期胃癌，并且行全胃切除术的患者。按照手术方式不同分为腹腔镜组（47例）和开腹组（42例）。通过观察两组患者手术时间、出血量、术后病理相关指标、术后并发症、术后首次进食流质饮食时间及术后住院天数，比较两种手术方式的近期疗效。
结果两组患者基线资料对比差异无统计学意义，具有可比性。与开腹组相比，腹腔镜组患者手术时间更长，但术中出血量、术后首次进食流质饮食时间、术后住院天数、术后并发症发生率及并发症等级均低于开腹组（P < 0.05）。
结论腹腔镜全胃切除术能够在保证Ⅰ期的近端胃癌患者手术安全性的同时，降低患者术中出血量、进食流质饮食时间、术后住院时间及术后并发症。

Abstract:
Objective To compare the short-term efficacy between laparoscopic and open total gastrectomy on stageⅠgastric cancer.
Methods A total of 89 patients with clinical stageⅠgastric cancer who underwent total gastrectomy were divided into two groups: Laparoscopic total gastrectomy group (n=47) and open total gastrectomy group (n=42). The short-term curative effect of two groups was compared.
Results The preoperative data of the two groups were comparable. Compared with open total gastrectomy group, the operative time in the laparoscopic total gastrectomy group was longer, but the intraoperative blood loss, the time for bowel function recovery, the length of hospital stay and the incidence of postoperative complications were all significantly reduced (P < 0.05).
Conclusion Compared with the open total gastrectomy, laparoscopic total gastrectomy is safe and feasible for stageⅠgastric cancer patients. It could reduce the bleeding volume, the time for bowel function recovery, the length of hospital stay and the incidence of postoperative complications.

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