腹腔镜辅助胃癌D2根治术治疗进展期胃癌对比观察

Curative effect of laparoscopic-assisted D2 radical gastrectomy on advanced gastric cancer

目的对比观察腹腔镜辅助胃癌D2根治术治疗进展期胃癌的疗效。方法选择2017年1月—2019年12月收治的46例进展期胃癌,随机分为腹腔镜组(23例,腹腔镜辅助D2根治术)和开放组(23例,开放性D2根治术),对比分析两组疗效。结果腹腔镜组的手术时间显著长于开腹组(P<0.05),但术中出血量、术后首次排气时间、开始进食时间、术后并发症发生率均显著少于开腹组(P<0.05);两组R0切除率、淋巴结清扫数目、死亡率、肿瘤复发率及无瘤存活率无差异。结论腹腔镜D2根治术治疗进展期胃癌近期疗效与开腹手术相似,但显著减少创伤及术后并发症,值得推广。

Objective To observe the effect of laparoscopic-assisted D2 radical gastrectomy on advanced gastric cancer.Methods A total of 46 patients with advanced gastric cancer admitted from January 2017 to December 2019 were randomly divided into a laparoscopic group(23 cases,laparoscopical-assisted D2 radical resection of gastric cancer)and a laparotomy group(23 cases,open D2 radical gastrectomy).The curative effects between the two groups were compared.Results Compared with the laparotomy group,the laparoscopy group showed longer operation time(P<0.05),but reduced intraoperative blood loss,first exhaust time after operation,first eating time,and incidence of postoperative complications(P<0.05).No significant differences were observed in R0 resection rate,number of lymph node dissection,mortality,tumor recurrence rate,and tumor-free survival rate between two groups(P>0.05).Conclusion The short-term effect of laparoscopic-assisted D2 radical resection for advanced gastric cancer is similar to that of laparotomy,but the former surgical method features reduced surgical trauma and postoperative complications,thus is worthy of clinical promotion.