CAJ | 학술논문

目的通过对胃癌腹腔镜与开腹手术的前瞻性对照临床研究,评估前者的安全可行性、根治性及术后近期疗效.方法 2010年8月-2011年12月,选择符合人选标准的胃癌患者29例列为腹腔镜组,同时按照同一入组标准选择相同或相似临床T分期(AJCC第7版)的胃癌患者29例作为开腹对照组,对以上两组进行对比研究.结果腹腔镜组手术时间长于开腹组[(210.34 ±44.76) min vs (151.55±42.28) min,P=0.000],住院总费用高于开腹组[(61 251±17 226)元vs(52 016 ±27 767)元,P=0.000],切口长度小于开腹组[(5.83±1.10) cmvs (15.93 ±1.39) cm,P=0.000],而出血量、清扫淋巴结数目、近远切缘距离、术后第1次排气时间、进流食时间、术后住院时间、术后并发症发病率、累积生存率等指标差异无统计学意义.结论腹腔镜辅助胃癌根治术是安全可行的,能达到与开腹手术同样的根治效果及良好的近期疗效.
목적 통과대위암복강경여개복수술적전첨성대조림상연구,평고전자적안전가행성、근치성급술후근기료효.방법 2010년8월-2011년12월,선택부합인선표준적위암환자29례렬위복강경조,동시안조동일입조표준선택상동혹상사림상T분기(AJCC제7판)적위암환자29례작위개복대조조,대이상량조진행대비연구.결과 복강경조수술시간장우개복조[(210.34 ±44.76) min vs (151.55±42.28) min,P=0.000],주원총비용고우개복조[(61 251±17 226)원vs(52 016 ±27 767)원,P=0.000],절구장도소우개복조[(5.83±1.10) cmvs (15.93 ±1.39) cm,P=0.000],이출혈량、청소림파결수목、근원절연거리、술후제1차배기시간、진류식시간、술후주원시간、술후병발증발병솔、루적생존솔등지표차이무통계학의의.결론 복강경보조위암근치술시안전가행적,능체도여개복수술동양적근치효과급량호적근기료효.
Objective Through the prospective comparative study of laparoscopic-assistcd and open radical gastrectomy for gastric cancer,to evaluate the safety,feasibility,radical and postoperative short-term efficacy of laparoscopic-assisted gastrectomy.Methods From May 2010 to December 2011,29 gastric cancer patients matching the inclusion criteria were chosen as the laparoscopic group.According to the same inclusion criteria,29 gastric cancer patients with the same or similar clinical T stage (AJCC 7th edition) were extracted as the open group.Then the two groups information was carried out a comparative study.Results The mean operation time of the laparoscopic group was longer[(210.34 ± 44.76) min vs (151.55 ± 42.28) min,P =0.000] and the mean hospitalization costs were higher[(61 251 ±17 226) yuan vs (52 016 ±27 767) yuan,P=0.000],while the mean incision length was shorter[(5.83 ± 1.10) cm vs (15.93 ± 1.39) cm,P =O.000] than the open group.There was no significant difference on blood loss,of dissected lymph nodes number,proximal and distal resection margins,the first flatus time,the first liquid diet time,postoperative hospital stay,postoperative complications and cumulative survival rates between the two groups.Conclusion The laparoscopic-assisted gastrectomy for gastric cancer is safe and feasible,can achieve equivalent radical and short-term efficacy with the open surgery.