CAJ | 학술논문

目的：分析进展期胃癌腹腔镜D2根治术的效果。方法将70例进展期胃癌患者随机分观察组和对照组，各35例。观察组给予腹腔镜下D2根治术治疗，对照组给予开腹D2根治术治疗。观察两组的临床效果。结果观察组的手术时间、出血量、胃肠功能恢复时间及住院时间均明显少于对照组，两组比较差异无统计学意义（ P＞0．05）。而两组的淋巴结清扫数比较，差异无统计学意义（P＞0．05）。观察组出现胸腔积液1例（2．86％），未出现死亡病例。对照组出现并发症7例（20．00％），无死亡病例，两组的并发症发生率比较，差异有统计学意义（P＜0．05）。结论进展期胃癌腹腔镜D2根治术手术住院时间短，术中出血量少，术后并发症少，临床效果显著。
목적：분석진전기위암복강경D2근치술적효과。방법장70례진전기위암환자수궤분관찰조화대조조，각35례。관찰조급여복강경하D2근치술치료，대조조급여개복D2근치술치료。관찰량조적림상효과。결과관찰조적수술시간、출혈량、위장공능회복시간급주원시간균명현소우대조조，량조비교차이무통계학의의（ P＞0．05）。이량조적림파결청소수비교，차이무통계학의의（P＞0．05）。관찰조출현흉강적액1례（2．86％），미출현사망병례。대조조출현병발증7례（20．00％），무사망병례，량조적병발증발생솔비교，차이유통계학의의（P＜0．05）。결론진전기위암복강경D2근치술수술주원시간단，술중출혈량소，술후병발증소，림상효과현저。
Objective To investigate the clinical value of laparoscopy -assisted the distal gastric D2 radical surgery for advanced gas-tric cancer.Methods The clinico-pathologic features of 70 patients with advanced gastric cancer received laparoscopy (n=35) and open sur-gery (n=35) respectively from Sepetember 2009 to March 2011.Results (1) There were no significant difference between the two groups in sex, age, cancer place ,cancer type(P>0.05).(2)The mean operation time, blood lose, ground activity time,hospital of control group were definitely shorter than matched group (P<0.05);(3)A list of pleural effusion in control group ,four lists of pleural effusion, three lists of inci-sion fat liquefaction,there were significant difference between the two groups (P<0.05).Conclusion The method of laparoscopy -assisted the distal gastric D2 radical surgery for advanced gastric cancer had radical effect , it has the advantage of shorter time of hospital stay , less bleeding , safety and reliability .