腹腔镜与开腹局部切除治疗胃胃肠间质瘤临床对比研究-外科学(普外)专业论文.docxVIP

贵阳医学院 贵阳医学院 2014 届硕士研究生论文 PAGE PAGE 10 The clinical study of Laparoscopic Versus Open Resection of Gastric Gastrointestinal Stromal Tumors ABSTRACT Objective ZhuYisheng, Guiyang medical college, 550004 To compare the relative efficacy of laparoscopic and open resection of Gastric gastrointestinal stromal tumors and assess the effectiveness、feasibility and safety of the laparoscopic operation. Methods Eighty cases of gastric gastrointestinal stromal tumor patients(including 38 cases with laparoscopic surgery，42 cases with abdominal surgery) were retrospectively analyzed,from Guiyang medical college affiliated hospital,between January 2009 to December 2013. The data (clinical characteristics、operation time，incision length， blood loss，the complication during operation and post-operation、the recovery time of gastrointestinal function、the hospitalization time and expenses、the post-operation recurrence and metastasis rate) of the two groups were compared and analyzed by SPSS(version 17.0). Results The incision length、blood loss、the recovery time of gastrointestinal function and the hospitalization time of the laparoscopic resection group were less compared to the open resection group(4.32±1.33vs14.86±2.34cm; 48.29±35.84vs82.86±38.90ml; 3.13±0.72vs3.69±0.71d; 7.50±1.16vs9.55±1.47d) , and there was a significant association between two groups (P all 0.05). However, there was no significant association of the operation time、the complication 、the post-operation recurrence metastasis rate、the hospitalization expenses between the two groups (91.31±27.06vs 96.95±37.14min,5.3%vs11.9%,0%vs0%,28564.8±25321.6vs25921.4±6836.5 元， P0.05) . Conclusions The security、operation cure and the recent prognosis of the laparoscopic resection were the same as the open resection group, moreover, the complications, post-operation recurrence and metastasis rate, and hospitalization cost were the same, too. However, laparoscopy operation has an advantage of small trauma, rapid recover