单孔加一孔腹腔镜胃癌根治术后患者近期疗效分析

江恩来; 王帅; 杜广胜; 邱远; 李云波; 肖卫东; 杨桦

doi:10.16016/j.1000-5404.2019009006

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单孔加一孔腹腔镜胃癌根治术后患者近期疗效分析

临床医学 | 更新时间：2026-01-09

- 单孔加一孔腹腔镜胃癌根治术后患者近期疗效分析
- Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis
- 第三军医大学学报 2019年41卷第23期页码：2348-2354
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.2019009006
  中图分类号：
- 收稿：2019-09-01，
  
  纸质出版：2019-12-15
- 稿件说明：
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江恩来, 王帅, 杜广胜, 等. 单孔加一孔腹腔镜胃癌根治术后患者近期疗效分析[J]. 第三军医大学学报, 2019,41(23):2348-2354.

Enlai JIANG, Shuai WANG, Guangsheng DU, et al. Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis[J]. Journal of Third Military Medical University, 2019, 41(23): 2348-2354.
江恩来, 王帅, 杜广胜, 等. 单孔加一孔腹腔镜胃癌根治术后患者近期疗效分析[J]. 第三军医大学学报, 2019,41(23):2348-2354. DOI： 10.16016/j.1000-5404.2019009006.

Enlai JIANG, Shuai WANG, Guangsheng DU, et al. Clinical efficacy of single-port plus one-port laparoscopic radical gastrectomy: a short-term analysis[J]. Journal of Third Military Medical University, 2019, 41(23): 2348-2354. DOI： 10.16016/j.1000-5404.2019009006.

摘要

Abstract

Objective

To compare the short-term efficacy and stress indexes in patients after radical gastric cancer surgery between single-port plus one-port (SILS+1) laparoscope and traditional five-port laparoscope based on enhanced recovery after surgery (ERAS).

Methods

A total of 114 patients who underwent laparoscopic radical gastrectomy in our department from March 2017 to July 2019 were recruited in this ERAS study. According the surgical approach

they were divided into SILS+1 group (

=66) and traditional laparoscopic group (

=48). The levels of white blood cell count (WBC)

C-reactive protein (CRP)

erythrocyte sedimentation rate (ESR)

procalcitonin (PCT) and interleukin-6 (IL-6) at 1

3 and 5 d after surgery were recorded and compared between the 2 groups. What's more

operation time

incision length

intraoperative blood loss

tumor type and TNM stage were compared between the 2 groups

and the time of gastric tube removal

time of first feeding

time of first movement out of bed

time of first anal exhaust

time of first defecation and time of postoperative hospitalization were recorded.

Results

① There were no statistically significant differences in age

sex

BMI and tumor stage

or in WBC

CRP

ESR

PCT and IL-6 levels in 1 d before surgery between the 2 groups (

0.05). ② The SILS+1 laparoscopic group had significantly longer operation time than the traditional laparoscopic group (

0.05). ③ The WBC

CRP

ESR

PCT and IL-6 levels at 1

3 and 5 d after surgery were significantly lower in the SILS+1 laparoscopic group than the traditional group (

0.05). ④ The incision length

first anal exhaust time

first postoperative defecation time and total hospital stay were significantly shorter in the laparoscopic SILS+1 group than the traditional group (

0.05). There were no statistical differences in the time of gastric tube removal

time of first feeding and time of first getting out of bed between them (

0.05).

Conclusion

Under the concept of ERAS

although SILS+1 laparoscope prolongs the operation time when compared with the traditional five-port laparoscope

it can obtain better short-term clinical efficacy

and is helpful to reduce the stress responses and promote the early recovery in the patients after radical gastric cancer surgery.

关键词

Keywords

references

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