检验医学与临床Issue(15)：2224-2226,3.DOI:10.3969/j.issn.1672-9455.2015.15.035
腹腔镜胃癌根治术与开腹手术临床疗效比较
Comparison of clinical efficacy between laparoscopic gastric cancer radical operation and laparotomy
乔风磊 1马飞国 1刘正才2
作者信息
- 1. 陕西省榆林市靖边县人民医院普通外科 718500
- 2. 西京医院肝胆外科，西安 710032
- 折叠
摘要
Abstract
Objective To compare the efficacy between laparotomy surgery and laparoscopic surgery in the treatment of the patients with gastric cancer .Methods The patients with gastric cancer in the Jingbian County Peo‐ple′s Hospital were selected and randomly divided into the laparotomy group and the laparoscopy group ,30 cases in each group .The operation related situation(intraoperative surgical time ,blood loss volume ,postoperative defecation time ,exhaust time ,ambulation time ,postoperative immune function) was recorded and the related conditions were compared .Results The intraoperative bleeding amount in the laparoscopy group was less than that in the laparotomy group ,the postoperative lymph node dissection number was basically same in the two groups ,but the postoperative exhaustion time ,ambulation time and taking food time in the laparoscopy group were earlier than those in the control group ,frequency of using analgesic drugs were less than those in the control group ,the peripheral blood T lympho‐cyte subsets CD3 + ,CD4 + ,CD8 + activity and IgG immunoglobulin level after 1 week in the laparoscopy group were higher than those in the laparotomy group(P< 0 .05) .Conclusion Laparoscopic gastric cancer radical operation has smaller influence on body and can better protect the patient′s immune function compared with the traditional radical open operation for the patients with gastric cancer ,which is conducive to the patient′s prognosis and recovery ,and is worthy of being further promoted in clinic .关键词
腹腔镜/开腹手术/胃癌/临床疗效Key words
laparoscopy/laparotomy/gastric cancer/clinical efficacy引用本文复制引用
乔风磊,马飞国,刘正才..腹腔镜胃癌根治术与开腹手术临床疗效比较[J].检验医学与临床,2015,(15):2224-2226,3.
