摘要
目的探讨腹腔镜胃癌根治手术的学习曲线。方法回顾分析2004年3月~2006年2月由同一组医师完成的100例腹腔镜胃癌根治手术的临床资料。按手术先后次序分为4组(A、B、C、D),每组25例,比较各组的手术时间、出血量、淋巴结清扫总数、中转开腹率、并发症。A组手术在8个月内完成,平均每月3.1例,B组平均每月4.2例,C组平均每月6.3例,D组平均每月8.3例。结果4组病例在年龄、性别、病理分期和手术方式等方面有可比性。A、B组的手术时间分别为(230±45)min、(210±42)min,显著长于C组(180±38)min和D组(165±34)min(P<0.05);A、B组的出血量分别为(328±150)ml、(278±137)ml,显著多于C组(150±90)ml和D组(140±83)ml(P<0.05)。中转开腹率由A组的24%(6/25)、B组的20%(5/25)下降到C组的8%(2/25)、D组的4%(1/25)(χ2=5.446,P=0.155)。4组淋巴结清扫个数、并发症发生率无显著差异。结论腹腔镜胃癌根治手术的学习曲线大致为50例。
Objective To investigate the learning curve of laparoscopic radical gastrectomy (LRG) for gastric cancer. Methods Clinical data of 100 cases of LRG that were performed between March 2004 and January 2006 by a single group of surgeons were reviewed. The patients were sequentially divided into four groups (groups A, B, C, and D, 25 in each). In group A, the 25 cases of LRG was completed within 8 months (3.1 cases per month on average), while that was 6 months in group B (4.2 cases per months), 4 months in gro...
出处
《中国微创外科杂志》
CSCD
2008年第6期510-512,共3页
Chinese Journal of Minimally Invasive Surgery
基金
全军“十一五”计划课题资助项目(06MB240)
重庆市医学重点学科建设资助项目
关键词
胃癌
腹腔镜手术
学习曲线
Gastric cancer
Laparoscope gastrectomy
Learning curve
