摘要
目的评估腹腔镜辅助胃窦癌根治性远端胃大部分切除术和开腹手术的优劣性,探讨腹腔镜辅助胃窦癌根治性远端胃大部分切除术的可行性和安全性。方法将行根治切除术的90例胃窦癌患者为研究对象,根据患者选择的手术方式分为腹腔镜组51例和开腹组39例,观察两组患者肿瘤手术切除、并发症、术后恢复和肿瘤复发情况。结果两组患者的手术时间、淋巴结切除数、远切缘及近切缘长度比较,差异均无统计意义(P>0.05)。两组患者术中出血量及术后止痛药使用率比较,差异均有统计学意义(P<0.05)。两组患者术后起床活动时间、住院时间比较,差异均有统计学意义(P<0.05)。两组患者术后并发症发生率、术后随访时间、复发率及术后因肿瘤因素病死率比较,差异均无统计学意义(P>0.05)。两组患者术后生存率比较,差异有统计学意义(P<0.05)。结论提示腹腔镜辅助胃窦癌根治性远端胃大部分切除术可达到开腹手术的效果,对患者的创伤更小、术后生存率高、住院时间短。
Objective To compare the effectiveness and safety of laparoscopic-assisted distal gastrectomy（LADG） and open gastrectomy（OG） in treating gastric cancer.Methods Totally 90 patients were divided into two groups based on their preferred surgical modes：LADG group（n=51） and OG group（n=39）.Clinical outcomes of these two groups were compared.Results The operational duration,surgical margin,and lymph nodes resected were not significantly different between these two groups（allP〈0.05）.The intra-operative blood loss and postoperative analgesic usage were significantly smaller in LADG group（bothP〈0.05）.The time to ambulate and the postoperative duration of hospital stay were significantly shorter in LADG group（bothP〈0.05）.The incidence of postoperative complications,postoperative follow-up,relapse rate,and tumor-related mortality rate showed no significant differences（allP〈0.05）,while the postoperative survival rate was significantly higher in LADG group（P〈0.05）.Conclusion LADG can achieve the effectiveness of OG with less trauma,higher postoperative survival rate,and shorter duration of hospital stay.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第2期190-192,195,共4页
Chinese General Practice
