腹腔镜胃癌根治手术的临床研究  

THE CLINICAL STUDY ON LAPAROSCOPIC RADICAL GASTRECTOMY FOR GASTRIC CANCER

作　　者：李俊[1] 谭忆广 周志涛[1] 毛常青 吕培标 钟国英[1] 王存川[2] 

机构地区：[1]广东省梅县人民医院普外科,梅州514011 [2]广东省暨南大学附属第一医院华侨医院普外科

出　　处：《现代预防医学》2011年第9期1762-1764,共3页Modern Preventive Medicine

摘　　要：[目的]探讨腹腔镜胃癌根治手术的安全性、可行性及肿瘤根治性。[方法]选择2005年12月～2010年12月普外科行腹腔镜胃癌D2根治术35例为腹腔镜组,并选择同期开腹胃癌根治术40例为对照组,比较两组手术相关指标、肿瘤根治性指标及术后随访患者的生存率。[结果]腹腔镜组手术时间较对照组长,术中出血量较对照组少,切口长度较对照组短,差异具有统计学意义(均P﹤0.05);腹腔镜组术后排气时间、首次进流质时间及术后住院时间明显较对照组缩短(P﹤0.05),两组总并发症发生率比较差异无统计学意义(P﹥0.05);腹腔镜组肿瘤根治性指标淋巴结清扫数目、近远端切缘距离及1、3、5年生存率均与对照组差异无统计学意义(P﹥0.05)。[结论]腹腔镜胃癌D2根治术是安全、可行的,能达到与开腹根治性全胃切除术相同的肿瘤根治性,且比开腹手术更具微创优势。[Objective]To study the safety,feasibility and curative result of laparoscopic radical gastrectomy for gastric cancer.[Methods]35 cases of laparoscopic radical gastrectomy for gastric cancer and 40 cases of open D2 radical gastrectomy were operated in our department from December 2005 to December 2010.The operative index,curative result index and survival rate in two groups were compared.[Results]The operation time was longer,volume of bleeding was less,and the length of incision was shorter in laparoscopic radical gastrectomy group（P﹤0.05）;postoperative time of farting,the time of eating fluid and hospital stay were shorter in laparoscopic group compared to those in control group（P﹤0.05） .There was no significant difference in the rates of postoperative complications.The clear number of lymph node dissection,the proximal and distal margin from tumor and the 1-,3-and 5-Y survival rate between the two groups were not different（P﹥0.05） .[Conclusion]The laparoscopic D2 radical gastrectomy is safe and feasible for gastric cancer.It has the same curative result and presents the superior character of minimal invasion compared with open D2 radical gastrectomy.

关 键 词：胃癌 根治性胃切除 腹腔镜 

分 类 号：R735.2[医药卫生—肿瘤]