腹腔镜微创手术联合内镜治疗胃肠肿瘤的效果

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Abstract Objective To explore the clinical effect of laparoscopic minimally invasive surgery combined with endoscopic therapy in the treatment of gastrointestinal tumors and to provide theoretical basis for improving the treatment level of gastrointestinal tumors.Methods From October 2016 to October 2017,80 patients with gastrointestinal neoplasms were selected as study subjects.They were divided into experimental group and control group by random number table method,40 cases in each group.The patients in the control group were treated with traditional open surgery and the patients in the experimental group were treated with laparoscopic minimally invasive surgery combined with endoscopy.The operative time,intraoperative bleeding volume,postoperative catheter retention time,postoperative exhaust time and postoperative complications(infection,diarrhea and vomiting)were compared between the two groups.Results The operation time of the the experimental group was(100.34±0.34)min,which was significantly shorter than that of the control group of(135.23±20.23)min （P<0.05）.In the experimental group,the intraoperative blood loss was(46.32±6.21)ml,which was losser than that of the control group of(100.34±10.34)ml(P<0.05).The postoperative catheter retention time in the experimental group was(2.42±1.36)d,which was shorter than that in the controi group of(3.22±1.34)d(P<0.05);The postoperative exhaust time in the experimental group was(2.56±0.98)d,which was shorter than that in the control group of(4.02±1.34)d(P<0.05).The incidence of total complication in experimental group was 10.0%,which was lower than that in control group 27.5%,the difference was statistically significant(P<0.05).Conclusion Laparoscopic minimally invasive surgery combined with endoscopic treatment of gastrointestinal tumors can shorten the operative time,reduce the amount of intraoperative bleeding,shorten the retention time of the catheter,shorten the postoperative exhaust time,and reduce postoperative complications.

Key words： Gastrointestinal neoplasms Laparoscopy Endoscopic treatment

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	LI Xing-hua
	LI Jun
	LIU Jie
	XIE Ying-qing
	LYU Pei-biao

Cite this article:

LI Xing-hua,LI Jun,LIU Jie, et al. Clinical effect analysis of laparoscopic minimally invasive surgery combined with endoscopy in the treatment of gastrointestinal tumors[J]. 中国当代医药, 2018, 25(20): 34-36.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I20/34

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