CAJ | 학술논문

目的：观察腹腔镜下胃癌D2根治术的安全性、肿瘤根治性以及术后早期疗效。方法将72例胃癌患者按照入院先后顺序随机分为2组各36例。其中对照组采取传统开腹胃癌切除术，观察组实施腹腔镜胃癌 D2根治术，比较2组早期疗效、肿瘤根治性及手术安全性。结果观察组手术时间显著长于对照组，切口长度、术中出血量、胃肠功能恢复时间、下床活动时间及平均住院时间均显著短于或少于对照组（P ＜0．05或＜0．01）；2组淋巴结清扫数目、肿瘤近切缘长度和远切缘长度差异均无统计学意义（P ＞0．05）；观察组术后并发症发生率为11．11％（4／36），显著低于对照组的27．78％（10／36）（P ＜0．05）。结论腹腔镜下胃癌 D2根治术近期疗效好，安全性高，且手术创伤小，有利于患者的术后恢复，具有较好的临床应用价值。
목적：관찰복강경하위암D2근치술적안전성、종류근치성이급술후조기료효。방법장72례위암환자안조입원선후순서수궤분위2조각36례。기중대조조채취전통개복위암절제술，관찰조실시복강경위암 D2근치술，비교2조조기료효、종류근치성급수술안전성。결과관찰조수술시간현저장우대조조，절구장도、술중출혈량、위장공능회복시간、하상활동시간급평균주원시간균현저단우혹소우대조조（P ＜0．05혹＜0．01）；2조림파결청소수목、종류근절연장도화원절연장도차이균무통계학의의（P ＞0．05）；관찰조술후병발증발생솔위11．11％（4／36），현저저우대조조적27．78％（10／36）（P ＜0．05）。결론복강경하위암 D2근치술근기료효호，안전성고，차수술창상소，유리우환자적술후회복，구유교호적림상응용개치。
Objective To investigate the safety,cancer radical and early efficacy after laparoscopic gastric cancer resection D2.Methods Seventy-two cases of gastric cancer patients were randomly divided into two groups according to the admission order,each group 36 cases.The control group was given traditional open gastric resection,while the observation group took laparoscopic gastric D2 resection.The early efficacy,tumor radical and surgical safety of two groups were compared.Results The operation time of observation group was significantly longer than that of control group.The incision length,blood loss,recovery time of gastrointestinal function,ambulation,and the average hospital stay time of observation group were significantly less than those of control group(P <0.05 or <0.01).The number of lymphadenectomy,the length of near and far cutting edge showed no significant difference between two groups(P >0.05).The postoperative complication rate of observation group 11.11%(4/36)was significantly lower than that of control group 27.78%(10/36)(P <0.05).Conclusion Laparoscopic gastric D2 resection has good early effect,safe and small surgical trauma,which are conducive to the recovery of patients,the method has good clinical application value.