中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
44-46
,共3页
腹腔镜%远端胃癌%胃癌根治术%淋巴结清扫%手术路径
腹腔鏡%遠耑胃癌%胃癌根治術%淋巴結清掃%手術路徑
복강경%원단위암%위암근치술%림파결청소%수술로경
Laparoscopy%Distal gastric cancer%Gastrectomy%Lymphadenectomy%Operation path
目的：评价腹腔镜下远端胃癌根治术（LADG）治疗胃窦癌的临床推广价值。方法：采用随机对照研究，选择本院2011年12月-2013年12月76例胃窦癌患者，随机分为两组，研究组38例行腹腔镜下远端胃癌根治术，对照组38例采用传统开腹胃癌根治术，评价两组疗效及相关指标、并发症发生情况、术后复发情况等。结果：研究组平均住院时间及平均胃肠功能恢复时间均明显短于对照组（P<0.05）；平均出血量明显少于对照组（P<0.05）；平均切口长度短于对照组（P<0.05）。两组平均手术时间、清除淋巴结数目、并发症发生率比较差异无统计学意义（P>0.05）。所有患者均随访至2014年6月，研究组肝转移2例，对照组复发转移3例，死亡1例。结论：LADG安全可行，疗效肯定，创伤及副损伤小，值得临床推广应用，手术路径和淋巴清扫技术是手术成功的关键。
目的：評價腹腔鏡下遠耑胃癌根治術（LADG）治療胃竇癌的臨床推廣價值。方法：採用隨機對照研究，選擇本院2011年12月-2013年12月76例胃竇癌患者，隨機分為兩組，研究組38例行腹腔鏡下遠耑胃癌根治術，對照組38例採用傳統開腹胃癌根治術，評價兩組療效及相關指標、併髮癥髮生情況、術後複髮情況等。結果：研究組平均住院時間及平均胃腸功能恢複時間均明顯短于對照組（P<0.05）；平均齣血量明顯少于對照組（P<0.05）；平均切口長度短于對照組（P<0.05）。兩組平均手術時間、清除淋巴結數目、併髮癥髮生率比較差異無統計學意義（P>0.05）。所有患者均隨訪至2014年6月，研究組肝轉移2例，對照組複髮轉移3例，死亡1例。結論：LADG安全可行，療效肯定，創傷及副損傷小，值得臨床推廣應用，手術路徑和淋巴清掃技術是手術成功的關鍵。
목적：평개복강경하원단위암근치술（LADG）치료위두암적림상추엄개치。방법：채용수궤대조연구，선택본원2011년12월-2013년12월76례위두암환자，수궤분위량조，연구조38례행복강경하원단위암근치술，대조조38례채용전통개복위암근치술，평개량조료효급상관지표、병발증발생정황、술후복발정황등。결과：연구조평균주원시간급평균위장공능회복시간균명현단우대조조（P<0.05）；평균출혈량명현소우대조조（P<0.05）；평균절구장도단우대조조（P<0.05）。량조평균수술시간、청제림파결수목、병발증발생솔비교차이무통계학의의（P>0.05）。소유환자균수방지2014년6월，연구조간전이2례，대조조복발전이3례，사망1례。결론：LADG안전가행，료효긍정，창상급부손상소，치득림상추엄응용，수술로경화림파청소기술시수술성공적관건。
Objective:To evaluate the clinical spread value of laparoscopy-assisted distal gastrectomy(LADG) in treatment of gastric antral cancer.Method:76 patients with gastric antral cancer in our hospital from December 2011 to December 2013 were randomly divided into two groups,the 38 patients in the study were given laparoscopy-assisted distal gastrectomy,38 cases in the control group were given the conventional open gastrectomy,the curative effect,related indicators,complications, postoperative recurrence and hospitalization expenses were evaluated.Result:The average hospitalization time and average time of recovery of bowel activity were significantly shorter than the control group (P<0.05).The average amount of bleeding was significantly less than that of the control group(P<0.05).The average length of incision was shorter than that of the control group(P<0.05).The average operative time,mean number of resected nodes and complications between the two groups had no statistical differences.All the patients were followed up to June 2014,2 cases in the research group appeared hepatic metastasis;In the control group,3 cases appeared recurrence and 1 case was death.Conclusion:LADG is safe and feasible for the patients with gastric antral cancer,the curative effect is positive and there is less injury,so it is well worth popularizing.The operation path and lymph node dissection are the key steps to the success of the operation.
