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目的:比较腹腔镜辅助下与开腹胃癌全胃切除术后围手术期疗效的影响。方法:选取2000年7月至2006年1月广西壮族自治区人民医院收治的施行腹腔镜辅助下及同期开腹胃癌全胃切除术病人各22例,将其临床资料进行比较分析。结果:腹腔镜组和开腹组术后平均失血量(181.4±137.3)ml和(270.5±141.2)ml,差异有统计学意义(P<0.05)。肠蠕动恢复时间、肛门排气时间及开始流质进食时间腹腔镜组分别(2.4±0.5)d、(3.7±0.6)d、(4.7±0.6)d,开腹组分别(2.9±0.5)d、(4.1±0.6)d、(5.1±0.6)d,腹腔镜组较开腹组胃肠道功能恢复早(P<0.05)。腹腔镜组与开腹组术后并发症发生率分别为22.7%和36.4%(P>0.05)。术后住院时间腹腔镜组(12.4±2.8)d,开腹组(15.7±5.7)d,差异有统计学意义(P<0.05)。结论:腹腔镜辅助下与开腹胃癌全胃切除术比较,具有创伤小、出血量少、术后恢复快、进食时间早、住院时间短的优点。
Objective: To compare the effect of perioperative efficacy of laparoscopic assisted radical gastrectomy with open gastrectomy for gastric cancer. Methods: From July 2000 to January 2006, Guangxi Zhuang Autonomous Region People’s Hospital admitted to the implementation of laparoscopic total anastomosis and open gastric cancer in patients with 22 cases of their clinical data were compared. Results: The average postoperative blood loss in laparoscopic group and open group was (181.4 ± 137.3) ml and (270.5 ± 141.2) ml, respectively, with statistical significance (P <0.05). (2.4 ± 0.5) d, (3.7 ± 0.6) d and (4.7 ± 0.6) days respectively in the laparoscopic group and 2.9 ± 0.5 days in the laparotomy group (4.1 ± 0.6) d and (5.1 ± 0.6) d respectively. The laparoscopic group recovered earlier than the laparotomy group (P <0.05). The postoperative complications of laparoscopic group and open group were 22.7% and 36.4% respectively (P> 0.05). The postoperative hospital stay laparoscopic group (12.4 ± 2.8) d, open group (15.7 ± 5.7) d, the difference was statistically significant (P <0.05). Conclusion: Compared with total gastrectomy with open laparoscopic surgery, laparoscopy has the advantages of less trauma, less bleeding, quick recovery after operation, early eating time and shorter hospitalization time.