中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
8期
13-15
,共3页
腹腔镜%胃肿瘤%远端胃癌根治术%进展期胃癌
腹腔鏡%胃腫瘤%遠耑胃癌根治術%進展期胃癌
복강경%위종류%원단위암근치술%진전기위암
Laparoscopes%Stomach neoplasms%Distal gastric cancer radical operation%Advanced gastric cancer
目的 比较腹腔镜辅助下远端胃癌根治术与传统开腹远端胃癌根治术治疗进展期胃癌的疗效,探讨腹腔镜辅助下远端胃癌根治术治疗进展期胃癌的可行性和近期疗效.方法 回顾性分析198例行腹腔镜辅助下远端胃癌根治术(腹腔镜组,91例)和传统开腹远端胃癌根治术(开腹组,107例)治疗的进展期胃癌患者的临床资料.结果 腹腔镜组与开腹组相比手术时间长、术中出血量少、切口长度短、术后肛门排气时间早、术后住院时间短、恢复进食时间快[(260.08±26.28) min比(231.74±17.33) min、(152.13±51.05) ml比(348.00± 110.36) ml、(5.02±0.82) cm比(19.13±1.57) cm、(2.79±0.75)d比(4.49± 1.09)d、(9.97±2.08)d比(12.15±2.46)d、(6.91±1.44)d比(7.45±1.08)d,P<0.05],而两组清扫淋巴结数目、术后并发症比较差异无统计学意义(P>0.05).结论 腹腔镜辅助下远端胃癌根治术是治疗进展期胃癌安全、可行且近期疗效良好的手术方法.
目的 比較腹腔鏡輔助下遠耑胃癌根治術與傳統開腹遠耑胃癌根治術治療進展期胃癌的療效,探討腹腔鏡輔助下遠耑胃癌根治術治療進展期胃癌的可行性和近期療效.方法 迴顧性分析198例行腹腔鏡輔助下遠耑胃癌根治術(腹腔鏡組,91例)和傳統開腹遠耑胃癌根治術(開腹組,107例)治療的進展期胃癌患者的臨床資料.結果 腹腔鏡組與開腹組相比手術時間長、術中齣血量少、切口長度短、術後肛門排氣時間早、術後住院時間短、恢複進食時間快[(260.08±26.28) min比(231.74±17.33) min、(152.13±51.05) ml比(348.00± 110.36) ml、(5.02±0.82) cm比(19.13±1.57) cm、(2.79±0.75)d比(4.49± 1.09)d、(9.97±2.08)d比(12.15±2.46)d、(6.91±1.44)d比(7.45±1.08)d,P<0.05],而兩組清掃淋巴結數目、術後併髮癥比較差異無統計學意義(P>0.05).結論 腹腔鏡輔助下遠耑胃癌根治術是治療進展期胃癌安全、可行且近期療效良好的手術方法.
목적 비교복강경보조하원단위암근치술여전통개복원단위암근치술치료진전기위암적료효,탐토복강경보조하원단위암근치술치료진전기위암적가행성화근기료효.방법 회고성분석198례행복강경보조하원단위암근치술(복강경조,91례)화전통개복원단위암근치술(개복조,107례)치료적진전기위암환자적림상자료.결과 복강경조여개복조상비수술시간장、술중출혈량소、절구장도단、술후항문배기시간조、술후주원시간단、회복진식시간쾌[(260.08±26.28) min비(231.74±17.33) min、(152.13±51.05) ml비(348.00± 110.36) ml、(5.02±0.82) cm비(19.13±1.57) cm、(2.79±0.75)d비(4.49± 1.09)d、(9.97±2.08)d비(12.15±2.46)d、(6.91±1.44)d비(7.45±1.08)d,P<0.05],이량조청소림파결수목、술후병발증비교차이무통계학의의(P>0.05).결론 복강경보조하원단위암근치술시치료진전기위암안전、가행차근기료효량호적수술방법.
Objective To compare the effect of laparoscopic-assisted and open distal gastric cancer radical operation for advanced gastric cancer and evaluate the feasibility and short-term outcomes of laparoscopic-assisted distal gastric cancer radical operation.Methods The clinical data of 198 patients from January 2007 to December 2011 were analyzed retrospectively.Ninety-one patients who underwent laparoscopic-assisted distal gastric cancer radical operation was in laparoscopy group,and 107 patients who underwent open distal gastric cancer radical operation was in open operation group.Results The operative time in laparoscopy group was significantly longer than that in open operation group [(260.08 ± 26.28) min vs.(231.74 ± 17.33) min],and intraoperative blood loss volume,incision length,recovery of bowel activity,time of stay in hospital and recovery eating were significantly shorter than those in open operation group [(152.13 ± 51.05) nl vs.(348.00 ± 110.36) ml,(5.02 ± 0.82) cm vs.(19.13 ± 1.57) cm,(2.79 ± 0.75) d vs.(4.49 ± 1.09) d,(9.97 ± 2.08) d vs.(12.15 ± 2.46)d,(6.91 ± 1.44) d vs.(7.45 ± 1.08) d,P< 0.05].The total number of lymph nodes and postoperative complication had no significant difference between two groups (P > 0.05).Conclusions The laparoscopic-assisted distal gastric cancer radical operation for advanced gastric cancer is safe and feasible.It has better short-term outcomes.