早期胃癌腹腔镜与开腹根治术的疗效比较  

Comparison of Efficacy of Laparoscopic and Open Radical Surgery on Early Gastric Cancer

作　　者：张桂祥[1] 刘洲禄[2] 

机构地区：[1]江苏省赣榆县人民医院普外科,赣榆222100 [2]解放军总医院普外科,北京100039

出　　处：《中国医药导刊》2015年第6期551-552,555,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨腹腔镜与开腹根治术治疗早期胃癌的疗效,为胃癌最佳治疗方案的制定提供临床依据。方法：根据术式将2010年2月~2012年8月收治的67例患者分为A组（33例）和B组（34例）,分别接受腹腔镜根治术和开腹根治术治疗,切除肿瘤病灶后行淋巴结清扫术,分析两组的手术情况（手术时间、术中出血量和淋巴结清扫数目）及时间指标（肛门排气、进食流质和住院时间）并记录两组的并发症,随访1年的复发情况及无瘤生存率。结果：A组的术中出血量低于B组,术后肛门排气、进食流质及住院时间均短于对照组（P〈0.05）,A、B两组术后并发症（15.2%vs 11.8%）、复发率（9.1%vs 11.8%）和无瘤生存率（81.8%vs 85.3%）的差异均无统计学意义（P〉0.05）。结论：腹腔镜根治术治疗早期胃癌的疗效与开腹根治手术的近远期疗效相当,可降低出血量并缩短术后恢复时间。Objective： To explore the efficacy of laparoscopic and open radical surgery on early gastric cancer.Methods：Sixty-seven patients with gastric cancer admitted by our hospital from Feb 2010 to Aug 2012 were randomly assigned to receive laparoscopic（group A,n=33） and open radical surgery（group B,n=34）.The surgical conditions and time index were analyzed in both groups as well as the complications.The patients were followed up.Results：The blood loss was lower in group A versus group B（P〈0.05）.The time of flatus,eating liquid and were shorter in group A versus group B（P〉0.05）.No significant differences were observed on postoperative complications,relapse rate and disease-free survival（P〉0.05）.Conclusion：Short and long-term efficacies of laparoscopic and open radical surgery on early gastric cancer were similar.

关 键 词：腹腔镜 开腹 胃癌根治术 胃癌 

分 类 号：R735.2[医药卫生—肿瘤]