CAJ | 학술논문

目的：比较腹腔镜和开放胃肠癌根治术的疗效。方法回顾性分析2012年1月至2015年3月在我院接受胃癌根治术的88例病人临床资料，其中接受开放胃癌根治术者57例（开放组），接受腹腔镜胃癌根治术者31例（腹腔镜组）。比较两组的手术时间、清扫淋巴结数、术中出血量、术后并发症、肛门排气时间、进食时间和住院时间。结果开放组和腹腔镜组的手术时间分别为（216．1±38．1） min 和（223．4±29．9）min，腹腔镜组手术时间较开放组长（P＜0．01）；两组术中清扫中位淋巴结数分别为28（15～30）个和28（11～30）个，差别无统计学意义（P＞0．05）；两组术中出血量分别为（136．8±32．5）ml和（36．6±30．6）ml，开放组的术中出血量多于腹腔镜组（P＜0．01）；两组的并发症发生率分别为19．3％和6．5％，差别无统计学意义（P＞0．05）；两组的肛门排气时间分别为（3．9±0．4）d和（2．8±0．6）d，开放组的肛门排气时间长于腹腔镜组（P＜0．05）；两组的进食时间分别为（4．5±0．8）d和（2．4±0．4）d，开放组的进食时间迟于腹腔镜组（P＜0．05）；两组中位住院时间分别为22（16～64）d和13（13～30）d，开放组的住院时间长于腹腔镜组（P＜0．05）。结论腹腔镜胃癌根治术近期疗效优于开放胃癌根治术。
목적：비교복강경화개방위장암근치술적료효。방법회고성분석2012년1월지2015년3월재아원접수위암근치술적88례병인림상자료，기중접수개방위암근치술자57례（개방조），접수복강경위암근치술자31례（복강경조）。비교량조적수술시간、청소림파결수、술중출혈량、술후병발증、항문배기시간、진식시간화주원시간。결과개방조화복강경조적수술시간분별위（216．1±38．1） min 화（223．4±29．9）min，복강경조수술시간교개방조장（P＜0．01）；량조술중청소중위림파결수분별위28（15～30）개화28（11～30）개，차별무통계학의의（P＞0．05）；량조술중출혈량분별위（136．8±32．5）ml화（36．6±30．6）ml，개방조적술중출혈량다우복강경조（P＜0．01）；량조적병발증발생솔분별위19．3％화6．5％，차별무통계학의의（P＞0．05）；량조적항문배기시간분별위（3．9±0．4）d화（2．8±0．6）d，개방조적항문배기시간장우복강경조（P＜0．05）；량조적진식시간분별위（4．5±0．8）d화（2．4±0．4）d，개방조적진식시간지우복강경조（P＜0．05）；량조중위주원시간분별위22（16～64）d화13（13～30）d，개방조적주원시간장우복강경조（P＜0．05）。결론복강경위암근치술근기료효우우개방위암근치술。
Objective To compare the effect of laparoscopic and open radical gastrectomy for gastric cancer.Methods Eighty-eight gastric cancer cases which received radical gastrectomy in our hospital from Jan 2012 to Mar 2015 were investigated retrospectively .57 cases received open radical gastrectomy ( Open group ) and 31 cases received laparoscopic radical gastrectomy ( Laparoscopic group ) .The operation time , intraoperation blood loss, number of resected nodes, postoperation complications, anal exhaust time, eating time and hospitalization time of two groups were compared .Results The operation time of open and laparoscopic group were (216.1 ±38.1) min and(223.4 ±29.9)min respectively, the operation time of open group was shorter than that of laparoscopic group (P<0.01).The median number of resected nodes of two groups were 28(15~30) and 28(11~30),they were not different statistically (P>0.05).The intraoperation blood loss of two groups were (136.8 ±32.5) ml and(36.6 ±30.6) ml respectively, the blood loss of open group was more then that of laparoscopic group(P<0.01).The rate of postoperation complication were 19.3%and 6.5%respectively, they were not different statistically(P>0.05).The anal exhaust time of two groups were (3.9 ±0.4)d and(2.8 ±0. 6)d respectively, the anal exhaust time of open group was longer the that of laparoscopic group (P<0.05).The feed time of two groups were (4.5 ±0.8)d and(2.4 ±0.4)d, the feed time of open group was longer the that of laparoscopic group(P<0.05).The hospitalization time of two groups were 22(16 ~64)d and 13(13 ~30)d respectively, the hospitalization time of open group was longer the that of laparoscopic group ( P <0.05 ). Conclusions The short term effect of laparoscopic radical gastrectomy for gastric cancer was better than that of open radical gastrectomy for gastric cancer .