腹腔镜胃癌根治术3年随访报告

Three-year follow-up of laparoscopic radical gastrectomy for gastric cancer

目的探讨腹腔镜胃癌根治切除术的可行性和效果。方法对我院2006年8月至2009年12月实施腹腔镜胃癌根治术61例患者的术后随访资料进行回顾性分析。结果随访率85.2%(52/61),随访时间为3～42个月,中位时间22个月。随访期间死亡8例,带瘤生存2例。复发和死亡病例均为进展期胃癌。复发率I期为0(0/19),II期20%(2/10),III期25%(5/20),IV期100%(3/3)。1,2,3年总生存率分别为97.4%、85.6%、71.0%,无瘤生存率分别为92.7%、81.2%、67.8%。结论早期胃癌腹腔镜切除手术预后良好,可以推荐。进展期胃癌腹腔镜手术预后并不差于开腹手术,但有待于进一步探索。

Objective To investigate the feasibility and effectiveness of laparoscopic radical gastrectomy for gastric cancer.Methods The follow-up data of 61 patients who underwent laparoscopic radical surgery for gastric cancer from August 2006 to December 2009 in our hospital were analyzed retrospectively.Results The follow-up rate was 85.2% （52/61）.The follow-up period ranged from 3 to 42 months （median 22 months）.Eight patients died and two patients were still alive with tumor recurrence during the follow-up perid The recurrences and deaths were all found in patients with advanced gastric cancer,and the incidence of recurrence was 0 （0/19） in stage I,20%（2/10） in stage II,25.0% （5/20） in stage III,and 100%（3/3） in stage IV.The 1-,2-,3-year overall survival rate was 97.4%,85.6% and 71.0% respectively,and the disease-free survival rate was 92.7%,81.2% and 67.8% respectively.Conclusions Laparoscopic gastrectomy for early gastric cancer has a good prognosis and can be recommended for general use.For advanced gastric cancer,the outcome of laparoscopy is not worse than that of open operation,but further study will be needed.