摘要
目的目的探讨纯单孔腹腔镜远端胃癌疗术旨在胃癌患者的临床应用。方法方法选取医院2018年6月~2021年6月收治的胃癌患者85例。采取回顾性分析法,将患者分为单孔组(n=31)和多孔组(n=54),单孔组采取单纯腹腔镜远端胃癌根治术治疗,多孔组采取常规5孔腹腔镜远端胃癌根治术治疗。观察两组手术时间、术中出血量、肛门首次排气时间、住院时间、术后并发症发生率以及手术前后炎症指标的变化。结果结果单孔组手术时间高于多孔组,术中出血量明显低于多孔组,差异有统计学意义(P<0.05);两组住院时间、肛门首次排气量相,差异无统计学意义(P>0.05);单孔组术后1d、术后3dC反应蛋白(C-reactiveprotein,CRP)、白细胞介素6(interleukin6,IL-6)水平明显低于多孔组,(P<0.05);两组术后并发症发生率差异无统计学意义(P>0.05)。结论结论在治疗早期胃癌方面,纯单孔腹腔镜远端胃癌根治术手术中出血量更少,短期内炎症反应程度更低。
Objective To investigate the clinical application of pure single-port laparoscopic distal gastric cancer therapy in pa-tients with gastric cancer.Methods A total of 85 patients with gastric cancer were selected from June 2018 to June 2021.By retro-spective analysis,the patients were divided into the single-hole group(n=31)and the multi-hole group(n=54).The single-hole group was treated with simple laparoscopic radical resection of distal gastric cancer,while the multi-hole group was treated with conven-tional 5-hole laparoscopic radical resection of distal gastric cancer.The changes of operation time,intraoperative blood loss,first anal exhaust time,hospital stay,postoperative complication rate and inflammation indexes before and after operation were observed.Results The operative time in the single-hole group was higher than that in the multi-hole group,and the intraoperative blood loss was significantly lower than that in the multi-hole group,the difference was statistically significant(P<0.05).There was no signifi-cant difference in length of hospital stay and first anal exhaust phase between the two groups(P>0.05).The levels of C-reactiveprot-ein(CRP)and interleukin6(IL-6)in the single-well group were significantly lower than those in the porous group at 1 day and 3 days after surgery(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion In the treatment of early gastric cancer,pure single-port laparoscopic radical gastrectomy for distal gas-tric cancer has less blood loss and lower short-term inflammatory response.
作者
胡伟
李林浦
李文忠
Hu Wei;Li Linpu;Li Wenzhong(Gastroenterothoracic Surgery Department of 363 Hospital,Chengdu,610000,Sichuan,China)
出处
《西藏医药》
2024年第4期44-46,共3页
Tibetan Medicine
关键词
单孔
腹腔镜
胃癌根治术
早期胃癌
Single hole
Laparoscope
Radical gastrectomy
Early gastric cancer
