| 朱冠宇,冯美燕,李岩峰,魏玉哲,姚 强,王 宽.腹腔镜与传统开腹胃癌D2根治术式的临床分析[J].,2017,17(11):2072-2075 |
| 腹腔镜与传统开腹胃癌D2根治术式的临床分析 |
| Clinical Analysis of Laparoscopic-assisted and Open Radical Surgery for Gastric Cancer |
| 投稿时间：2016-10-24 修订日期：2016-11-21 |
| DOI：10.13241/j.cnki.pmb.2017.11.018 |
| 中文关键词: 胃癌 腹腔镜辅助手术 远端胃癌根治术 |
| 英文关键词: Gastric cancer Laparoscopy Radical distal gastrectomy |
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| 中文摘要: |
| 摘要 目的：比较远端胃癌应用腹腔镜辅助技术行D2根治术与传统开腹远端胃癌D2根治术安全性、近期生存差异。方法：回顾性分析2010年1月-2012年12月在我院行远端胃癌根治术的158例患者，其中行腹腔镜辅助远端胃癌根治手术75例(腹腔镜组)，与开腹远端胃癌根治手术83例(开腹组)。对比分析腹腔镜组与开腹组病人术中情况和术后并发症及近期生存差异。结果：腹腔镜组与传统开腹组病人一般资料、病理学类型、肿瘤位置、肿瘤浸润深度、转移淋巴结数目、总清扫淋巴结数目、肿瘤TNM分期比较差异无统计学意义(P＞0.05)，腹腔镜组手术时间较传统开腹组长(P<0.05)，切口长度、离床活动时间、排气时间、进流食时间、总住院时间短于开腹组，差异有统计学意义(P<0.05)，腹腔镜组与开腹组术中出血量、术后并发症发生率、近期生存率比较差异无统计学意义(P＞0.05)。结论：腹腔镜辅助胃癌D2根治性手术安全可行，可达到开腹手术相同的根治效果，但较开腹组具有术中创伤小、术后恢复快优势。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the security and value of laparoscopic radical distal resection for gastric cancer with D2 lymph node dissection and compare the efficacy with open radical surgery. Methods: Based on the clinical data, 158 patients with gastric cancer underwent radical distal gastrectomy in our hospital from January 2010 to december 2012 were retrospectively analyzed. Among the pa- tients, 75 cases were given laparoscopic assisted radical distal gastrectomy and 83 cases were given traditional open distal gastrectomy. The differences of intraoperative and postoperative situation, postoperative complications and short-term survival rates between la- paroscopy and open surgery group were analyzed. Results: Laparoscopic surgery group and open surgery group were no statistically sig- nificant differences in gender, age, tumor location, tumor diameter, grade of differentiation, number of metastasis lymph node, number of lymph nodes dissection, depth of tumor invasion and TNM staging. The operative time with the laparoscopic group was longer than the open group(P<0.05), the length of incision, postoperative ambulation time, postoperative exhaust time, postoperative eating time, hospital stay was shorter than open surgery group, between Laparoscopic group and open surgery group showed statistically significant differ- ences(P<0.05). Blood loss, postoperative complications, survival rate had no significant differences between the two groups(P＞0.05). Conclusion: Laparoscopic radical gastrectomy is a safe procedure and matches the results with open surgery, however postoperative recovery faster and less invasive than open surgery. |
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