肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2014年
5期
332-335
,共4页
林文霖%李志雄%许燕常%谢雪茹%黄智清%潘国烽
林文霖%李誌雄%許燕常%謝雪茹%黃智清%潘國烽
림문림%리지웅%허연상%사설여%황지청%반국봉
胃肿瘤%全胃切除术%腹腔镜%橡皮筋固定法
胃腫瘤%全胃切除術%腹腔鏡%橡皮觔固定法
위종류%전위절제술%복강경%상피근고정법
Gastric neoplasms%Gastric cancer radical operation%Laparoscopic%Rubber band fixed law
目的 探讨腹腔镜全胃D2根治术治疗胃上部癌的安全性、肿瘤根治性以及术后早期疗效.方法 接受腹腔镜全胃D2根治术(腹腔镜手术组)的122例胃上部癌患者为研究对象,同期采用传统开腹全胃D2根治术(传统开腹组)的132例为对照.两组性别、年龄、肿瘤位置、病理类型和TNM分期差异均无统计学意义.结果 传统开腹组及腹腔镜手术组在手术时间[(235.78±31.56)min比(256.43±54.08) min]、出血量[(326.69±89.73) ml比(158.31±62.98) ml]、切口长度[(16.53±2.34)cm比(5.51±1.15)cm]、胃肠道恢复时间[(4.22±0.91)d比(3.31±0.83)d]、术后首次进食流质时间[(5.78±0.95)d比(5.56±0.78)d]和术后住院时间[(12.62±2.89)d比(11.18±1.78)d]差异有统计学意义(均P＜ 0.001).两组的淋巴结清除数目及并发症差异均无统计学意义(均P＞0.05).结论 腹腔镜全胃D2根治术是一种安全、微创的手术方法.腹腔镜全胃D2根治术与传统开腹全胃D2根治术可获得相同的淋巴结清扫范围及良好的早期疗效,但较开腹手术有创伤小、术后恢复快等优势.
目的 探討腹腔鏡全胃D2根治術治療胃上部癌的安全性、腫瘤根治性以及術後早期療效.方法 接受腹腔鏡全胃D2根治術(腹腔鏡手術組)的122例胃上部癌患者為研究對象,同期採用傳統開腹全胃D2根治術(傳統開腹組)的132例為對照.兩組性彆、年齡、腫瘤位置、病理類型和TNM分期差異均無統計學意義.結果 傳統開腹組及腹腔鏡手術組在手術時間[(235.78±31.56)min比(256.43±54.08) min]、齣血量[(326.69±89.73) ml比(158.31±62.98) ml]、切口長度[(16.53±2.34)cm比(5.51±1.15)cm]、胃腸道恢複時間[(4.22±0.91)d比(3.31±0.83)d]、術後首次進食流質時間[(5.78±0.95)d比(5.56±0.78)d]和術後住院時間[(12.62±2.89)d比(11.18±1.78)d]差異有統計學意義(均P＜ 0.001).兩組的淋巴結清除數目及併髮癥差異均無統計學意義(均P＞0.05).結論 腹腔鏡全胃D2根治術是一種安全、微創的手術方法.腹腔鏡全胃D2根治術與傳統開腹全胃D2根治術可穫得相同的淋巴結清掃範圍及良好的早期療效,但較開腹手術有創傷小、術後恢複快等優勢.
목적 탐토복강경전위D2근치술치료위상부암적안전성、종류근치성이급술후조기료효.방법 접수복강경전위D2근치술(복강경수술조)적122례위상부암환자위연구대상,동기채용전통개복전위D2근치술(전통개복조)적132례위대조.량조성별、년령、종류위치、병리류형화TNM분기차이균무통계학의의.결과 전통개복조급복강경수술조재수술시간[(235.78±31.56)min비(256.43±54.08) min]、출혈량[(326.69±89.73) ml비(158.31±62.98) ml]、절구장도[(16.53±2.34)cm비(5.51±1.15)cm]、위장도회복시간[(4.22±0.91)d비(3.31±0.83)d]、술후수차진식류질시간[(5.78±0.95)d비(5.56±0.78)d]화술후주원시간[(12.62±2.89)d비(11.18±1.78)d]차이유통계학의의(균P＜ 0.001).량조적림파결청제수목급병발증차이균무통계학의의(균P＞0.05).결론 복강경전위D2근치술시일충안전、미창적수술방법.복강경전위D2근치술여전통개복전위D2근치술가획득상동적림파결청소범위급량호적조기료효,단교개복수술유창상소、술후회복쾌등우세.
Objective To evaluate the safety,tumor radical and early postoperative efficacy through comparison of laparoscopic gastric D2 radical surgery with traditional open gastric D2 radical surgery.Methods 254 patients with upper stomach cancer underwent surgery were selected,132 cases using conventional open gastrectomy (the traditional laparotomy group),122 patients underwent laparoscopic radical gastrectomy (laparoscopic surgery group).Laparoscopic surgery group with traditional open surgery group had no statistically significant differences in gender,age,tumor location,histological type and TNM staging.Results Open surgery group and laparoscopic surgery group had statistically significant differences in operative time [(235.78±31.56) min,(256.43±54.08) min,P ＜ 0.001],blood loss [(326.69±89.73) ml,(158.31±62.98) ml,P ＜ 0.001],incision length [(16.53±2.34) cm,(5.51±1.15) cm,P ＜ 0.001],gastrointestinal recovery time [(4.22±0.91) d,(3.31±0.83) d,P ＜ 0.001],first time eating liquid [(5.78±0.95) d,(5.56±0.78) d,P ＜ 0.001] and postoperative hospital stay [(12.62±2.89) d,(11.18±1.78) d,P ＜ 0.001].The total number of lymph node dissection and complications was not statistically significant.Conclusions Laparoscopic gastric D2 radical surgery is a safe,minimally invasive surgical method.Laparoscopic gastric D2 radical surgery has the same lymph node dissection and good early outcome compared with the traditional gastric D2 radical surgery,but postoperative recovery fast and less invasive.
