CAJ | 학술논문

将腹腔镜下远端胃癌 D2根治术的61例患者随机分为 TLDG 组与 LADG 组，对比分析两组患者的临床资料。TLDG 组32例中行 BⅠ式吻合（残胃十二指肠三角吻合）21例，残胃空肠 Roux-en-Y 吻合11例；LADG 组胃癌根治29例中行 BⅠ式吻合20例，残胃空肠 Roux-en-Y 吻合9例。两组在平均手术时间、术中出血量、平均肿瘤下切缘、平均肿瘤上切缘、切除淋巴结枚数方面相比差异无统计学意义。TLDG组术后未使用镇痛药，LADG 组平均使用镇痛药（2.5±0.4） d（P <0.05）；TLDG 组在术后通气时间、术后第1次下床时间方面明显短于 LADG 组，差异有统计学意义（ P <0.05）；两组术后早期并发症相比差异无统计学意义。
장복강경하원단위암 D2근치술적61례환자수궤분위 TLDG 조여 LADG 조，대비분석량조환자적림상자료。TLDG 조32례중행 BⅠ식문합（잔위십이지장삼각문합）21례，잔위공장 Roux-en-Y 문합11례；LADG 조위암근치29례중행 BⅠ식문합20례，잔위공장 Roux-en-Y 문합9례。량조재평균수술시간、술중출혈량、평균종류하절연、평균종류상절연、절제림파결매수방면상비차이무통계학의의。TLDG조술후미사용진통약，LADG 조평균사용진통약（2.5±0.4） d（P <0.05）；TLDG 조재술후통기시간、술후제1차하상시간방면명현단우 LADG 조，차이유통계학의의（ P <0.05）；량조술후조기병발증상비차이무통계학의의。
61 patients who have undergone laparoscopic D2 radical distal gastrectomy were randomly divided into totally laparoscopic group(TLDG)and laparoscopic-assisted group(LADG). The clinical data of the two groups were analyzed retrospectively. There were 21 cases who underwent anastomosis of Billoth Ⅰ(residual stomach and duodenum delta-shaped anastomosis)and 11 cases who underwent residual stomach and jejunum Roux-en-Y anas-tomosis in TLDG group. In LADG group there were 20 cases who underwent anastomosis of Billoth Ⅰand 9 cases who underwent residual stomach and jejunum Roux-en-Y anastomosis. There was no significant difference between the two groups in the operative time,the blood loss,the distance from distal surgical margin to tumor,the distance from proximal surgical margin and the number of harvested lymph nodes. The analgesic was only used in laparo-scopic-assisted group for(2. 5 ± 0. 4)d( P < 0. 05). The significant difference was observed between the two groups in time of gastrointestinal function recovery and out of bed activity(P < 0. 05). There was no significant difference between the two groups in complication rate.