CAJ | 학술논문

目的：比较腹腔镜辅助胃癌根治手术与传统开腹胃癌根治手术后患者早期临床康复情况。方法回顾性分析2012年6月至2013年3月46例腹腔镜辅助胃癌根治术（腹腔镜组）与85例开腹胃癌根治术（开腹组）患者的临床资料。结果腔镜组手术时间为（274±78）min，长于开腹组的（217±41）min，两组比较差异有统计学意义（P ﹤0.01）；腹腔镜组淋巴结清扫数目为（30.5±10.4）枚，开腹组为（32.6±12.3）枚，两组比较差异无统计学意义（P =0.339）。腹腔镜组术中出血量（254±112）ml、术后首次下床活动时间（63±16）h、术后胃肠道功能恢复时间（77±20）h、术后首次进食时间（88±15）h、术后住院时间（11.1±4.6）d，均明显优于开腹组，两组比较差异有统计学意义（P ﹤0.05）。结论腹腔镜辅助胃癌根治手术可行，同时具备手术视野清晰、创伤小、术中出血少、术后恢复快和术后住院时间短等优点，患者近期康复效果优于开腹手术。
목적：비교복강경보조위암근치수술여전통개복위암근치수술후환자조기림상강복정황。방법회고성분석2012년6월지2013년3월46례복강경보조위암근치술（복강경조）여85례개복위암근치술（개복조）환자적림상자료。결과강경조수술시간위（274±78）min，장우개복조적（217±41）min，량조비교차이유통계학의의（P ﹤0.01）；복강경조림파결청소수목위（30.5±10.4）매，개복조위（32.6±12.3）매，량조비교차이무통계학의의（P =0.339）。복강경조술중출혈량（254±112）ml、술후수차하상활동시간（63±16）h、술후위장도공능회복시간（77±20）h、술후수차진식시간（88±15）h、술후주원시간（11.1±4.6）d，균명현우우개복조，량조비교차이유통계학의의（P ﹤0.05）。결론복강경보조위암근치수술가행，동시구비수술시야청석、창상소、술중출혈소、술후회복쾌화술후주원시간단등우점，환자근기강복효과우우개복수술。
Objective To compare the postoperative short-term rehabilitation of laparoscopic-as-sisted gastrectomy and open radical gastrectomy for gastric cancer. Methods The clinical data of 46 ca-ses of laparoscopic-assisted radical gastrectomy(laparoscopic group)and 85 cases of open radical gas-trectomy(open group)from June 2012 to March 2013 were analyzed retrospectively. Results Com-pared with open group,the operation time was longer in laparoscopic group[( 274 ± 78 )min vs (217 ± 41)min,P ﹤ 0. 01]. The number of lymph node dissections was(30. 5 ± 10. 4)in laparo-scopic group and(32. 6 ± 12. 3)in open group,there was no significant difference( P = 0. 339). Estimated blood loss in the laparoscopic group[(254 ± 112 )ml]was significantly less than that in the open group( P ﹤ 0. 001). First postoperative ambulation time was(63 ± 16)hours,gastrointesti-nal function recovery time was( 88 ± 15 )hours,first postoperative feeding time was( 88 ± 15 ) hours,postoperative hospital stay was(11. 1 ± 4. 6)days in the laparoscopic group,they were shor-ter than those in the open group( P ﹤ 0. 05). Conclusions Laparoscopic-assisted radical gastrecto-my for gastric cancer is feasible,and it has such advantages such as clear vision surgery,minimally invasion,less bleeding,rapid postoperative recovery,and shorter postoperative hospital stay.