作者：陈勇，何冬雷，梁月祥，刘丽杰，周江浩

单位：海南医学院第一附属医院 胃肠肿瘤外科，海南 海口 570102

Authors:  Chen Yong, He Donglei, Liang Yuexiang, Liu Lijie, Zhou Jianghao

Unit:  Department of Gastrointestinal Surgery, First Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan, China

摘要：

目的 探讨腹腔镜手术治疗早期胃癌的临床疗效。方法 回顾性选取2016年1月至2019年6月间我院收治的82例早期胃癌患者的临床资料,按照手术方式将患者分为腹腔镜组和开腹组,分别为43例、39例。结果 腹腔镜组术中出血量、腹部切口长度、肛门排气时间、下床活动时间、进流质时间、住院时间均短于开腹组(P<0.05),但是手术时间长于开腹组(P>0.05);腹腔镜组术后并发症总发生率为4.6%,低于开腹组的23.1%,差异具有统计学意义(χ2=5.978,P<0.05);腹腔镜组患者5年复发率为4.6%,开腹组为8.3%。腹腔镜组5年生存率为95.3%,开腹组为92.3%,差异无统计学意义(χ2=0.947,P>0.05)。结论 腹腔镜手术治疗早期胃癌的近期疗效明显优于传统开腹术,两种治疗方式的远期预后相当。

关键词：  早期胃癌; 腹腔镜手术; 临床疗效

Abstract：

Objective To investigate the efficacy of laparoscopic radical surgery for early gastric cancer. Methods We retrospectively collected the clinical data of 82 early gastric cancer patients between January 2016 and June 2019 in our hospital. Patients were assigned into the laparoscopic surgery group and open surgery group. Results The operation time, intraoperative bleeding volume, abdominal incision length, anal exhaust time, time of getting out of bed, time of entering fluid and hospital stay of laparoscopic group were significantly shorter than those of open group (P<0.05). But the operation time was longer than that of the open surgery group (P>0.05). The incidence rate of postoperative complications in laparoscopic group was 4.6%, lower than that in open group (23.1%), the difference was statistically significant (P<0.05); the 5-year recurrence rate in laparoscopic group was 4.6%, lower than that in open group (P<0.05)The 5-year survival rate of laparoscopy group was 95.3%, and 92.3% for the opening group (P>0.05). Conclusion The short-term effect of laparoscopic radical surgery for early gastric cancer is significantly better than that of the traditional open surgery. The long-term prognosis of the two treatment methods is similar. With the development of medical technology, the clinical prospect of laparoscopic radical surgery for early gastric cancer is very promising.

Key Words:  Early gastric cancer; Laparoscopic radical surgery; Clinical efficacy