腹腔镜辅助与手助腹腔镜远端胃癌根治术的比较

Laparoscopy Assisted Versus Hand-assisted Laparoscopic Distal Radical Gastrectomy

目的探讨腹腔镜辅助与手助腹腔镜远端胃癌根治术的安全性及临床疗效。方法回顾性分析2012年1月～2013年5月行腹腔镜远端胃癌根治术210例资料,其中腹腔镜辅助手术120例,手助腹腔镜手术90例,比较2组手术时间、术中出血量、淋巴结清扫个数、术后首次排气时间和术后并发症发生率,并进行随访。结果腹腔镜辅助组与手助腹腔镜组手术时间[（121.0±2.1）min vs.（122.0±2.8）min]、术中出血量[（45.0±1.4）ml vs.（46.0±1.6）ml]、淋巴结清扫个数[（17.2±5.6）个vs.（16.8±6.6）个]、术后首次排气时间[（52.0±5.6）h vs.（55.0±8.1）h]、术后并发症发生率[6.7%（8/120）vs.7.8%（7/90）]差异均无统计学意义（P〉0.05）。结论腹腔镜辅助与手助腹腔镜下行远端胃癌根治术同样有效、安全、可行。

Objective To investigate the safety and efficacy of laparoscopy assisted and hand-assisted laparoscopic distal radical gastrectomy. Methods Clinical data of 210 cases of distal radical gastrectomy from January 2012 to May 2013 were retrospectively analyzed, including 120 cases of laparoscopy assisted operation and 90 cases of hand-assisted laparoscopic surgery. The operation time, intraoperative blood loss, lymph nodes resected, postoperative flatus time, and complications were compared between the two groups. Results There were no significant differences （P 〉 O. 05） between laparoscopy assisted operation and hand-assisted laparoseopic operation with respect to the operation time [ （ 121.0 ± 2. 1 ） rain vs. （ 122.0 ±2.8） mini, intraoperative blood loss [（45.0±1.4） ml vs. （46.0±1.6） ml], lymph nodes resected （17.2±5.6 vs. 16.8 ±6.6）, postoperative flatus time [（52.0± 5.6） h vs. （55.0± 8. 1） hi , and complication rates [6.7% （8/120） vs. 7.8% （7/90） ]. Conclusion Both laparoscopy assisted and hand-assisted laparoscopic distal radical gastrectomy are safe and effective.