腹腔镜辅助与开腹胃癌根治术的中期疗效比较  

Comparison of Medium-term Curative Effectiveness Between Laparoscopic Assisted and Open Radical Gastrectomy

作　　者：高金辉[1] 李建国[1] 蔡铭智[1] 蔡丽生[1] 洪建明[1] 林小雷[1] 

机构地区：[1]福建医科大学附属漳州市医院普外二科,漳州363000

出　　处：《中国微创外科杂志》2015年第7期597-600,共4页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜辅助胃癌根治术与开腹胃癌根治术的中期疗效。方法比较2005年6月-2011年1月我科同组人员行腹腔镜辅助与开腹胃癌D2根治术,其中腹腔镜辅助胃癌根治术46例（腹腔镜组）,开腹胃癌根治术54例（开腹组）,比较2组胃癌根治术后肿瘤局部复发、远处转移、生存率等中期疗效。结果腹腔镜组与开腹组局部复发率分别为10.9%（5/46）、7.4%（4/54）,无统计学差异（χ^2=0.364,P=0.546）;远处转移率分别为6.5%（3/46）、5.6%（3/54）,差异无显著性意义（χ^2=0.000,P=1.000）。2组生存率无显著性差异（χ^2=1.386,P=0.239）。结论腹腔镜组辅助与开腹胃癌根治术在生存率、术后局部复发和远处转移等中期疗效方面无显著性差异。Objective To explore the medium-term curative effectiveness of laparoscopic-assisted and open radical distal gastrectomy. Methods A total of 100 patients underwent either laparoscopic D2 gastrectomy（ n = 46,laparoscopic group） or open D2 gastrectomy（ n = 54,open group） by the same staffs in our department from June 2005 to January 2011. The medium-term curative effectiveness was compared between the two groups,including local recurrence,distant metastasis,and survival rates. Results The local recurrence rate in the laparoscopic group and the open group were 10. 9%（ 5 /46） and 7. 4%（ 4 /54）,respectively,without significant difference（ χ^2= 0. 364,P = 0. 546）. There was no distinct difference in the distant metastasis rate between the two groups[6. 5%（ 3 /46） vs 5. 6%（ 3 /54）,χ^2= 0. 000,P = 1. 000]. The survival rate in the laparoscopic group and the open group had no significant difference（ χ^2= 1. 386,P = 0. 239）. Conclusion The local recurrence,distant metastasis,and survival rate after operation show no significant differences between laparoscopic and open gastrectomy.

关 键 词：胃癌 腹腔镜 开腹手术 中期疗效 

分 类 号：R735.2[医药卫生—肿瘤]