腹腔镜胃癌辅助D2根治术与开腹术对胃癌近期疗效分析

Research on the Efficacy of Laparoscopic-assisted Distal D2 Resection and Traditional Open Surgery for Gastric Cancer

目的:比较腹腔镜辅助D2根治术与传统开腹术对胃癌的疗效。方法:230例胃癌患者,其中行腹腔镜辅助D2根治术101例(观察组),传统开腹手术129例(对照组)。结果:术前两组患者的基线资料指标无明显组间差异(>0.05);对照组手术施行时间明显短于观察组(<0.05);观察组术中出血量、手术切口长度、术后肛门排气时间、术后进食时间、术后住院时间和切口愈合情况上均优于对照组(<0.05);两组淋巴结清扫数量无显著差异;观察组的术后并发症总发病率低于对照组的并发症总发病率(<0.05)。随访结果显示所有患者均存活,无远处转移病例。结论:腹腔镜辅助D2胃癌根治术安全性高、创伤小、术后恢复快、并发症发生率低,适宜临床上胃癌手术治疗的推广应用。

Objective： To compare the efficacy of laparoscopic-assisted distal D2 resection and traditional open surgery for gastric cancer.Methods ：230 cases of gastric cancer respectively received laparoscopie-assisted distal D2 resection（101 cases,observation group）,and traditional open surgery （129 cases,control group）.Results：There was no significant group difference in baseline information between the two groups before surgery（P〉0.05）.Operative time in the observation group was significantly longer than the control group （P〈0.05）.Intraoperative bleeding volume, length of surgical incision,postoperative anal exhaust time,postoperative ingress time,postoperative hospitalization time and incision healing in the observation group were better than the control group （P〈0.05）.There was no significant difference between the two groups in the number of lymph node dissection.The total incidence of postoperative complications in the observation group was lower than the total incidence of complications in the control group （P〈 0.05）.Follow-up results showed that all patients were alive without distant metastasis.Conclusion：Laparoscopic-assisted distal D2 resection has high safety,less invasive,rapid postoperative recovery and lower incidence of complications.