腹腔镜辅助与开腹手术治疗原发性胃肠道淋巴瘤疗效比较  

Laparoscopic-assisted versus open surgery of primary gastrointestinal lymphoma

作　　者：刘绍群[1] 陆爱国[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院外科,上海市微创外科临床医学中心,上海200025

出　　处：《外科理论与实践》2014年第4期354-357,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:分析并比较腹腔镜辅助与开腹手术治疗原发性胃肠道淋巴瘤(primary gastrointestinal lymphoma,PGIL)的短期及远期疗效。方法:收集2001年5月至2013年8月在我院行手术治疗的37例PGIL病人资料。其中腹腔镜组(LS组)22例,开腹组(OS组)15例。回顾性分析比较两组临床资料、手术相关资料、术后疗效及长期存活率等的差异。结果:37例中,胃淋巴瘤17例,小肠淋巴瘤15例,结肠直肠淋巴瘤5例。两组病人一般资料的比较及临床首要表现的差异无统计学意义;LS组的手术时间长于OS组,差异有统计学意义(P<0.05);LS组的术中出血量少于OS组,差异有统计学意义(P<0.05);淋巴结清扫数LS组多于OS组,差异有统计学意义(P<0.05)。LS组在术后恢复方面均显著优于OS组,差异有统计学意义。两组对病人远期生存率的影响无统计学意义。病人远期生存率主要与病理分期相关。结论:腹腔镜辅助PGIL切除术治疗PGIL安全、有效,短期疗效优于开腹手术,远期疗效与开腹手术相似。Objective To compare the short-time and long-time outcomes between laparoscopic-assisted surgery （LS） and open surgery （OS） of primary gastrointestinal lymphoma （PGIL）. Methods Clinical datas of thirty-seven patients with PGIL accepting surgery from May 2001 to August 2013 in Ruijin Hospital were collected. The differences between the two groups in clinical data, operative date, complications and follow-up data were analysed retrospective. Results Seventeen cases of gastric lymphoma, fifteen cases of intestinal lymphoma and five cases of colorectal lymphoma were included. There are no differences between the two groups in perioperative clinical data. The number of all lymph nodes harvested in LS group was significantly more than OS group, but less bleeding was found in LS group. The operative time was shorter in OS group. The recovery time was significantly shorter in LS group. There was no difference in the influence in patients＇ long-term survival rate. Conclusions Laparoscopic-assisted resection of lymphoma is safe and effective, it is superior to open surgery in short-term outcomes, and equal to open surgery in long-term outcomes.

关 键 词：腹腔镜手术 原发性胃肠道淋巴瘤 开腹手术 

分 类 号：R735[医药卫生—肿瘤]