腹腔镜辅助与开腹远端胃癌根治术的临床对比研究  

Comparison of laparoscopic assisted and open distal gastrectomy for gastric cancer

作　　者：孙钦立[1] 张晓明[1] 周忠晋[1] 高发会[1] 

机构地区：[1]山东省临沂市沂水中心医院普外一科,山东临沂276400

出　　处：《中国现代普通外科进展》2009年第7期605-607,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨腹腔镜辅助远端胃癌根治术的可行性。方法:对39例行腹腔镜辅助远端胃癌根治术(腹腔镜组)及40例开腹远端胃癌根治术(开腹组)患者的术后情况进行对比分析。结果:腹腔镜组与开腹组平均手术时间分别为(204.6±38.4)min和(166.1±36.8)min(P<0.05);但腹腔镜组术中出血量、术后恢复情况、术后外周血T淋巴细胞及NK细胞活性显著优于开腹组(P<0.05)。腹腔镜组肿瘤根治程度、术后生存率、肿瘤复发情况与开腹组相比差异无统计学意义(P>0.05)。结论:腹腔镜辅助远端胃癌根治术是安全可行的,其微创优势明显,能够达到与开腹手术相当的根治效果。Objective： To investigate the feasibility of laparoscopic assisted distal gastrectomy. Methods： Two groups of patients with gastric cancer who underwent either laparoscopic assisted or open distal gastrectomy （including 39 and 40 cases in each group） were compared. Results： The mean operation time for laparoscopic assisted distal gastrectomy was significantly longer than that for open surgery（P〈0.05）, but the mean blood loss, postoperative recovery, T lymphocyte subsets and NK cells of the former were better than the latter （P〈0.05）. No significant difference between tow groups was observed for oncological clearance, postoperative survival rate, tumor recurrence （P〉0.05）. Conclusion： Laparoscopic assisted distal gastrectomy is safe, feasible and minimally invasive, it can achieve the same cancer clearance as open surgery.

关 键 词：胃肿瘤 腹腔镜检查 远端胃癌根治术 

分 类 号：R735.2[医药卫生—肿瘤]