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作 者:何平[1] 梁杰雄[1] 邵天松[1] 宋辉[1] 郭洋[1] 李洋[1]
机构地区:[1]首都医科大学附属北京安贞医院普外科,100029
出 处:《中国医药》2016年第7期1031-1034,共4页China Medicine
摘 要:目的探究腹腔镜辅助D:根治术治疗进展期胃癌的疗效。方法对2008年1月至2013年6月于首都医科大学附属北京安贞医院接受手术治疗的76例进展期胃癌患者的临床资料进行回顾性分析,根据手术方式分为腹腔镜辅助手术组(观察组,36例)和开腹手术组(对照组,40例)。比较2组患者切口长度、手术时间、术中出血量、清扫淋巴结个数、进食流质时间、肛门排气时间、术后住院时间、并发症发生情况以及术后存活率。结果观察组患者切口长度、术中出血量、排气时间、进食流质时间、住院时间、术后并发症发生率均明显低于对照组[(5.7±0.4)em比(17.4±1.5)cm、(164±35)ml比(255±87)ml、(2.8±1.6)d比(4.9±2.5)d、(4.2±0.8)d比(6.7±1.0)d、(12±3)d比(15±4)d、13.9%(5/36)比32.5%(13/40)],差异均有统计学意义(均P〈0.05),但2组手术时间、清扫淋巴结个数、存活率(术后随访5~6个月)比较差异均无统计学意义(均P〉0.05)。结论采用腹腔镜辅助D2根治术治疗进展期胃癌安全、可行,在淋巴结清扫上与开腹手术具有相同的效果。Objective To investigate the clinical effect of laparoscopy-assisted gastric D2 radical surgery in treating advanced gastris cancer. Methods Totally 78 cases with advanced gastric cancer from January 2008 to June 2013 were randomly divided into observation group (36 cases ) receiving laparoscopic D2 radical gastrectomy and control group (40 patients) receiving laparotomy D2 radical gastrectomy. The incision length, operation duration, intraoperative blood loss, number of lymph nodes dissected, time of liquid diet intake, anal exhaust time, duration of hospitalization, complications and survival rate were compared between groups. Results The incision length, intraoperative blood loss, exhaust time, duration of hospitalization, incidence of complications in observation group were all significantly lower than those in control group [ (5.7 ±0. 4) cm vs (17.4 ± 1.5) em, (164 ±35) ml vs (255 ± 87) ml, (2.8-±1.6) dvs (4.9±2.5) d, (4.2±0.8) dvs (6.7±1.0) d, (12±3) dvs (15 ±4) d, 13.9% (5/36) vs 32. 5% (13/40) ] (P 〈0. 05) ; the operation duration, number of lymph nodes dissected, survival rate were not significantly different between two groups (P 〉 0. 05) . Conclusion Laparoscopy-assisted distal gastric resec- tion D2 is safe and feasible, it can achieve similar curative effect with laparotomy in treating advanced gastric cancer.
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