CAJ | 학술논문

目的：探究腹腔镜辅助下近端胃癌根治术与开腹近端胃癌根治术的疗效。方法回顾性分析我院于2012年9月至2013年10月因胃癌接受手术治疗的进展期近端胃癌患者78例，其中36例接受腹腔镜辅助下近端胃癌根治术（腹腔镜组），42例接受开腹近端胃癌根治术（开腹组）,观察两组近期指标及免疫功能指标的差异。结果腹腔镜组在手术时间、切缘与肿瘤距离及清扫淋巴结总数上与开腹组无统计学差异；在术中平均出血量、术后肛门首次排气时间、术后平均住院时间优于开腹组；腹腔镜组术后营养及免疫指标优于开腹组。结论腹腔镜辅助胃癌根治术微创优势明显，且能够达到与开腹手术相当的根治效果。
목적：탐구복강경보조하근단위암근치술여개복근단위암근치술적료효。방법회고성분석아원우2012년9월지2013년10월인위암접수수술치료적진전기근단위암환자78례，기중36례접수복강경보조하근단위암근치술（복강경조），42례접수개복근단위암근치술（개복조）,관찰량조근기지표급면역공능지표적차이。결과복강경조재수술시간、절연여종류거리급청소림파결총수상여개복조무통계학차이；재술중평균출혈량、술후항문수차배기시간、술후평균주원시간우우개복조；복강경조술후영양급면역지표우우개복조。결론복강경보조위암근치술미창우세명현，차능구체도여개복수술상당적근치효과。
Objective To explore the feasibility and efficacy of laparoscopy-assisted radical proximal gastrectomy. Methods The clinical data of 36 cases received laparoscopy-assisted proximal radical gastrectomy(group LAPG) from September 2011 to October 2013 and 42 cases received open proximal gastrectomy (group OPG) at the same period in our hospital were compared. The difference of perioperative indicators and immune parameters were primarily compared between the two groups. Results The surgical margin and the number of harvested lymph nodes, compared with group OPG was no significant difference(P>0.05).The mean operation time,amount of bleeding,first flatus and frequency of analgesics use of group LAPG were less than those of group OPG(P<0.05);the nutrition and immune parameters were better than those of group OPG(P<0.05). Conclusion Laparoscopic-assisted gastrectomy is feasible and safe for patients with proximal advanced stomach carcinoma. The short-term outcomes of the procedure is favorable, but the long-term outcome remains uncertain.