腹腔镜辅助进展期远端胃癌根治术近期疗效分析

Short-term effect of laparoscopy-assisted radical distal gastrectomy for advanced stomach carcinoma

目的探讨腹腔镜辅助进展期远端胃癌根治手术的可行性和效果。方法分析从2009年至2010年临床行腹腔镜辅助进展期远端胃癌根治手术的45例患者并与同期行开腹进展期远端胃癌根治手术的52例患者对比。结果 45例顺利完成腹腔镜手术,两组平均手术时间[(172.2±53.1)min vs(162.2±54.2)min,P>0.05]差异无统计学意义,开腹组术中出血量大于腔镜组[(382.2±203.4)ml vs(182.2±163.3)ml,P<0.05],术中淋巴结清扫数目差异无统计学意义[(28.4±16.1)个vs(30.1±17.2)个,P>0.05],平均住院时间腔镜组短于开腹组。结论腹腔镜辅助进展期远端胃癌根治手术安全有效,围手术期与开腹手术无明显差异。

Objective To explore the feasibility,methodology and effect of laparoscopy-assisted radical distal gastrectomy.Methods We retrospectively assessed 45 cases treated by LADG and compared to 52 contemporaneous cases（group DG）treated by open distal gastrectomy from 2009 to 2010 year.Results Operation time（min） in the two groups was similar（172.2±53.1 min vs 162.2±54.2 min,P〉0.05）,mean blood loss in group DG was significantly higher that in the group LADG（182.2±163.3ml vs 382.2±203.4,P〈0.05）.The number of harvested lymph nodes in each group was similar（28.4±16.1 vs 30.1±17.2,P〉0.05）.There was no mortality in either group.Conclusion Laparoscopy-assisted radical distal gastrectomy is safe and practicable,which is similar to the open gastrectomy.