胃癌合并胆囊疾病同期切除的可行性与安全性研究

Feasibility of simultaneous operation of Radical Gastrectomy with cholecystectomy

目的探讨合并胆囊疾病的胃癌患者同期行胃癌根治术及胆囊切除术的可行性及安全性。方法 1996-01—2011-01间中国人民解放军第二五四医院共手术治疗800例胃癌患者。将722例未合并胆囊疾病患者作为对照组,行根治性胃癌切除术。将78例合并有胆囊疾病的患者作为观察组,同期行根治性胃癌切除术和胆囊切除术。回顾性分析患者的临床资料。结果观察组的手术时间长于对照组,差异有统计学意义(P<0.05)。2组患者术中出血量、住院时间、术后并发症发生率,术后3 d引流量、下床时间、术后排气时间及5 a生存率比较,差异均无统计学意义(P>0.05)。结论对合并有胆囊疾病的胃癌患者同期行胃癌根治术及胆囊切除术,安全可行。

Objective To investigate the feasibility and safety of gastric cancer with gallstone surgery over the same period.Methods Clinical pathological data of 800 patients with gastric cancer admitted in our hospital from January 1996 to January 2011 were analyzed retrospectively. Totally 78 cases were complicated with gallbladder diseases at the same time. All patients underwent radical gastrectomy for gastric cancer,and cholecystectomy was performed in patients with gallbladder disease. Results The operation time of the observation group was longer than that of the control group,the difference was statistically significant（ P 〈0. 05）,the amount of bleeding,2 groups of patients in hospitalization time,postoperative complications,postoperative drainage volume 3 d,bed time,postoperative exhaust time and the survival rate of 5 years,there were no significant differences（ P 〉0. 05） Conclusion Radical gastrectomy with cholecystectomy for gastric cancer with gallbladder disease patients is safe and feasible.