远端胃癌应用胃小弯全切术和传统胃癌根治术的淋巴结清除率及生存率对比

Comparison of lymph node clearance rates and survival rates of distal gastric carcinoma with gastric small bend total resection and traditional radical gastrectomy

目的对比远端胃癌应用胃小弯全切术和传统胃癌根治术的淋巴结清除率及生存率。方法随机选取2012年1月至2017年1月本院收治的远端胃癌患者400例,依据治疗方法将这些患者分为胃小弯全切术组(n=200)和传统胃癌根治术组(n=200)两组,对两组患者的平均淋巴结清扫数、1年生存及复发情况、术后并发症发生情况进行统计分析。结果胃小弯全切术组患者的平均淋巴结清扫术显著多于传统胃癌根治术组(P<0.05),1年生存率88.5%(177/200)显著高于传统胃癌根治术组73.0%(146/200)(P<0.05),复发率19.0%(38/200)显著低于传统胃癌根治术组31.0%(62/200)(P<0.05),术后并发症发生率19.0%(38/200)显著低于传统胃癌根治术组31.0%(62/200)(P<0.05)。结论远端胃癌应用胃小弯全切术较传统胃癌根治术更能有效提升患者的淋巴结清除率及生存率。

Objective To compare the lymph node clearance rates and survival rates of distal gastric carcinoma with gastric small bend total resection and traditional radical gastrectomy.Methods400cases of patients with distal gastric cancer from January2012to January2017in our hospital were randomly selected,these patients were divided into gastric resection group(n=200)and traditional radical gastrectomy group(n=200)two groups according to the treatment methods,the average lymph nodes,1year survival and recurrence and postoperative complications of the two groups were statistically analyzed.Results The average lymph node dissection of the gastric resection group were significantly more(P<0.05),the1year survival rate88.5%(177/200)was significantly higher than traditional radical gastrectomy group73.0%(146/200)(P<0.05),the recurrence rate19.0%(38/200)was significantly lower than traditional radical gastrectomy group31.0%(62/200)(P<0.05),the postoperative complications rate19.0%(38/200)was significantly lower than the traditional radical gastrectomy group31.0%(62/200)(P<0.05).Conclusion Gastric small bend total resection is more effective to improve the lymph node clearance rate and survival rate of patients with distal gastric cancer than traditional radical gastrectomy.