Objective To compare the effect of laparoscopy and laparotomy in the treatment of gastrointestinal tumors, and to evaluate the feasibility of laparoscopic operation in treating gastrointestinal tumors. Methods A total of 113 patients with gastrointestinal tumors were treated with laparoscopy or laparotomy. The operation time, intra - operative blood loss, the number of cleared lymph nodes, exsufflation time, postoperative hospital stay, solid diet intaking time, and incidence rates of complications were compared. Gastrointestinal quality of life index ( GIQLF ) were taken one month after operation to evaluate survival quality of the two groups. Results The intra - operative blood loss( 71 ± 22 )mL, exsufflation time( 28. 3 ±6. 5 )h, postoperative hospital stay( 8.3±2.8)dof the laparoscopy group were significantly lower than the laparotomy group ( P < 0. 05 ), the number of cleared lymph nodes had no statistical differences. The incidence rates of post - operative pulmonary infection and intestinal obstruction in laparoscopy group were obviously lower than laparotomy group ( P < 0. 05 ). In laparoscopy group ( P < 0. 05 ), the post - operative survival quality was higher than that in laparotomy group. Conclusion Laparoscopy has obvious advantages in treating gastrointestinal tumors.%目的 比较腹腔镜与开腹手术在治疗胃肠道恶性肿瘤的效果,探讨腹腔镜手术在治疗胃肠道恶性肿瘤的可行性.方法 113例胃肠道恶性肿瘤患者分为腹腔镜组和开腹手术组,比较其手术时间、术中出血量、清除淋巴结数目、排气时间、进固体食物时间、术后住院时间、并发症发生率.并于术后1个月随访,进行胃肠生存质量指标评分,比较2组的生存质量.结果 腹腔镜组出血鼍(71±22)mL、排气时间(28.3±6.5)h、术后住院时间(8.3±2.8)d明显低于开腹组(P<0.05),清除淋巴结数目与开腹组差异无统计学意义(P>0.05),术后肺部感染、肠梗阻发生率明显低于开腹组(P<0.05),且术后生存质量高于开腹组(P<0.05).结论 腹腔镜手术在治疗胃肠道恶性肿瘤中较开腹手术有明显优势.
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