腹腔镜辅助下胃癌D_2根治术150例疗效评价  

Effiect of laparoscopic D_2 radical gastrectomy in gastric cancer: experiences of 150 patients

作　　者：张恒[1] 瞿彩兴[1] 蒋鹏程[1] 桂林[1] 祁卫东[1] 范钰[1] 

机构地区：[1]江苏大学附属人民医院普外科,江苏镇江212002

出　　处：《中国肿瘤外科杂志》2015年第2期96-99,共4页Chinese Journal of Surgical Oncology

摘　　要：目的探讨腹腔镜辅助下胃癌D2根治术的可行性及疗效。方法回顾分析150例(2010年5月至2014年8月)腹腔镜辅助下胃癌D2根治术(LAG组)以及同期150例传统开腹胃癌手术(OG组)的临床资料。比较两组患者的术中及术后情况、淋巴结清扫数目、并发症发生率等。结果两组手术时间、切口长度、肛门排气时间、鼻饲流质时间、术后住院天数有明显差别(均P<0.05);淋巴结清扫数目、转移数目、术中出血量、消化道重建方式、肿瘤浸润深度、肿瘤与上下切缘距离及肿瘤最大径则无统计学差异(均P>0.05)。结论腹腔镜辅助下胃癌根治术具有安全、术后恢复快等优点,同时在淋巴结清扫方面能达到开腹胃癌手术相同的效果。Objective To explore the feasibility and efficacy of laparoscopic D： radical gastrectomy in patients with gastric cancer. Methods The clinical data of 150 cases in laparoscopic D2 radical gastrectomy （ LAG group） and 150 cases in traditional open operation for gastric cancer（ OG group） were retrospectively analyzed. The patients＇ operation, number of retrieved lymph and complications of the two groups were compared. Results The operative time, length of incision, anal exhaust time, drip-feed time, postoperative hospital stay in the two groups had significant differences （ P 〈 0.05 ）. The dissected lymph node number, transfer number of lymph node, intraoperative bleeding volume, reconstruction of the digestive tract, tumor invasion, tumor from the upper and lower margins and maximal tumor diameter had no statistical difference （ P 〉 0.05 ）. Conclusions Laparoscopic D2 radical gastrectomy is a safe and feasible procedure with quick recovery, and it is comparable with open operation in lymph node dissection.

关 键 词：腹腔镜 胃癌 腹腔镜辅助下根治术 

分 类 号：R735.2[医药卫生—肿瘤]