腹腔镜胃癌D2根治术的安全性、肿瘤根治性以及术后早期疗效

Safety,cancer radical and early efficacy after laparoscopic gastric cancer D2 resection

目的观察腹腔镜下胃癌D2根治术的安全性、肿瘤根治性以及术后早期疗效。方法将72例胃癌患者按照入院先后顺序随机分为2组各36例。其中对照组采取传统开腹胃癌切除术,观察组实施腹腔镜胃癌D2根治术,比较2组早期疗效、肿瘤根治性及手术安全性。结果观察组手术时间显著长于对照组,切口长度、术中出血量、胃肠功能恢复时间、下床活动时间及平均住院时间均显著短于或少于对照组(P<0.05或<0.01);2组淋巴结清扫数目、肿瘤近切缘长度和远切缘长度差异均无统计学意义(P>0.05);观察组术后并发症发生率为11.11%(4/36),显著低于对照组的27.78%(10/36)(P<0.05)。结论腹腔镜下胃癌D2根治术近期疗效好,安全性高,且手术创伤小,有利于患者的术后恢复,具有较好的临床应用价值。

Objective To investigate the safety,cancer radical and early efficacy after laparoscopic gastric cancer resection D2.Methods Seventy-two cases of gastric cancer patients were randomly divided into two groups according to the admission order,each group 36 cases.The control group was given traditional open gastric resection,while the observation group took laparoscopic gastric D2 resection.The early efficacy,tumor radical and surgical safety of two groups were compared.Results The operation time of observation group was significantly longer than that of control group.The incision length,blood loss,recovery time of gastrointestinal function,ambulation,and the average hospital stay time of observation group were significantly less than those of control group（P 0.05）.The postoperative complication rate of observation group 11.11%（4/36）was significantly lower than that of control group 27.78%（10/36）（P 〈0.05）.Conclusion Laparoscopic gastric D2 resection has good early effect,safe and small surgical trauma,which are conducive to the recovery of patients,the method has good clinical application value.