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目的比较腹腔镜辅助全胃切除术与开腹全胃切除术的治疗效果,探讨腹腔镜辅助全胃切除手术的可行性及临床疗效。方法选取我院行全胃切除术的患者97例,按随机数字表法分为观察组和对照组,观察组采用腹腔镜辅助全胃切除术进行治疗,对照组采用开腹全胃切除术进行治疗,分析两组患者的手术平均失血量、肠蠕动恢复时间、住院天数、术后并发症发生率的差异。结果观察组手术平均失血量(161.2±30.2)ml,肠蠕动恢复时间(2.4±0.5)d,住院天数(10.8±1.4)d;对照组手术平均失血量(280.4±40.1)ml,肠蠕动恢复时间(3.1±0.5)d,住院天数(15.2±1.3)d。两组患者结果比较差异具有显著统计学意义(P<0.01)。观察组术后并发症发生率为20.83%,对照组术后并发症发生率为28.57%,两组患者结果比较差异无统计学意义(P>0.05)。结论腹腔镜辅助全胃切除术与开腹全胃切除术比较具有手术失血量少、术后恢复快、住院时间短等优点,适合临床广泛推广应用。
Objective To compare the effectiveness of laparoscopic total gastrectomy and total gastrectomy for laparoscopic assisted total gastrectomy feasibility and clinical efficacy. Methods Ninety-seven patients undergoing total gastrectomy in our hospital were divided into observation group and control group according to random number table. The observation group was treated by laparoscopic total gastrectomy. The control group was treated by total gastrectomy Treatment, analysis of two groups of patients with mean operative blood loss, bowel recovery time, hospitalization days, the incidence of postoperative complications. Results The average blood loss in the observation group was 161.2 ± 30.2 ml, the recovery time was 2.4 ± 0.5 days and the length of hospital stay was 10.8 ± 1.4 days. The average blood loss in the control group was 280.4 ± 40.1 ml, Time (3.1 ± 0.5) d, hospitalization days (15.2 ± 1.3) d. The difference between the two groups of patients was statistically significant (P <0.01). The incidence of postoperative complications in the observation group was 20.83%, while that in the control group was 28.57%. There was no significant difference between the two groups (P> 0.05). Conclusions Laparoscopic assisted total gastrectomy and open gastrectomy have the advantages of less blood loss, quick recovery after surgery and shorter hospital stay, which are suitable for clinical application.