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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。
Objective To explore the application and effect of minimally invasive surgery for small incision in patients with gastric cancer through minimally invasive small incision surgery of stomach cancer, and to seek the mode of minimally invasive open surgery for gastric cancer combined with Chinese national conditions. Methods From November 2009 to September 2010, patients with gastric cancer admitted to West China Hospital of Sichuan University were treated with radical radical surgery and the operation was divided into minimally invasive group and conventional incision group. The hospitalization time, Surgical incision size, postoperative complications such as the difference between the indicators. Results There was no significant difference between the two groups in total length of hospital stay and wound healing time (P> 0.05), while there was a significant difference between the minimally invasive group and the conventional group in postoperative hospital stay (P <0.05) Incision size, minimally invasive group was significantly less incision than the conventional group (P <0.05); postoperative bleeding, anastomotic fistula and wound infection incidence was no significant difference between the two groups (P> 0.05). Conclusion Surgical treatment of open incision minimally invasive surgery is a feasible and safe treatment for gastric cancer in our country.