远端进展期胃癌行腹腔镜辅助D2根治术近期疗效及安全性分析  

Assessment of the efficacy and safety of laparoscopy - assisted D2 radical distal gastrectomy for advanced gastric cancer

作　　者：宋军[1] 樊瑞智 付海啸[1] 徐溢新[1] 宋虎[1] 徐为[1] 

机构地区：[1]徐州医学院附属医院胃肠外科,江苏徐州221002

出　　处：《徐州医学院学报》2014年第11期807-809,共3页Acta Academiae Medicinae Xuzhou

基　　金：江苏省卫生厅面上科研项目（H201220）;江苏省“六大人才高峰”项目（2012-WS-068）.

摘　　要：目的探讨腹腔镜D2根治术治疗进展期远端胃癌的近期疗效及安全性。方法回顾性分析本院2012年1月至2014年6月问180例行胃癌D2根治术治疗远端进展期胃癌患者的临床资料（其中腹腔镜组62例，开腹组118例），比较2组患者的手术指标及术后近期并发症情况。结果腹腔镜组患者的切口长度、术中出血量、进食流质时间、术后排气时间、住院天数均少于开腹组患者，手术时间长于开腹组，组间差异有统计学意义（P〈0．05），而术后并发症和清扫淋巴结数目2组之间差异无统计学意义（P〉0．05）。结论腹腔镜胃癌D2根治术治疗进展期远端胃癌创伤小且安全可行，近期临床疗效较满意。Objective To assess the efficacy and safety of laparoscopy - assisted D2 radical distal gastrectomy for advanced gastric cancer. Methods A total of 180 gastric cancer patients who were admitted in our hospital from January 2012 to June 2014 for D2 radical distal gastrectomy were recruited in the study. They were divided into two groups including 62 patients in the laparoscopy group and 118 patients in the open surgery group. Then their surgery index and post - operative complication were compared. Results The patients in the laparoscopy group presented shorter length of operative incision, smaller volumes of blood loss, shorter time for liquid food intake and postoperative exhausting, and less postoperative hospital stay but longer operation time than those of the open surgery group （ P 〈 0.05 ）. No statistical sig- nificance was found between the two groups as to postoperative complication and the average number of lymph nodes dissected （P 〉 0.05）. Conclusion The D2 laparoscopic radical gastrectomy for gastric cancer can result in small opening and satisfactory efficacy which is safe and feasible.

关 键 词：进展期胃癌 D2根治术 腹腔镜 临床疗效 

分 类 号：R735.2[医药卫生—肿瘤]