腹腔镜缩小根治术治疗早期胃癌的可行性及安全性分析  

Feasibility and Safety of Laparoscopic Radical Resection in the Treatment of Early Gastric Cancer

作　　者：李欢送[1] 袁博[1] 齐敦峰 姜新春[1] 吕孝鹏[1] 张昕辉[1] 

机构地区：[1]江苏省徐州市中心医院,221009

出　　处：《实用癌症杂志》2016年第11期1838-1840,共3页The Practical Journal of Cancer

摘　　要：目的探究腹腔镜缩小根治术治疗早期胃癌的可行性及安全性。方法选取接受手术治疗的60例早期胃癌患者为研究对象,随机将其分为对照组和实验组,每组30例。对照组给予腹腔镜标准根治术,实验组给予腹腔镜缩小根治术治疗,比较两组患者的手术时间、肿瘤切缘、淋巴结清扫数目等。结果对照组患者肿瘤近端及远端切缘、肛门排气时间、术后进食时间均明显优于实验组(P<0.05);对照组淋巴结清扫数目明显高于实验组(P<0.05)。两组患者的手术时间、疼痛持续时间及并发症发生率等比较差异均无统计学意义(P>0.05)。结论腹腔镜缩小根治术治疗早期胃癌安全可行,治疗效果显著,并且患者术中损伤较少,值得临床推广。Objective To explore the feasibility and safety of laparoscopic radical resection in the treatment of early gastric cancer.Methods 60 cases of early gastric cancer treated with surgery were selected as study subjects,and divided into the control group and the experimental group,30 cases in each.Total gastrectomy treatment was given to the control group,the experimental group were treated with laparoscopic reducing the radical therapy,operation time,tumor margin and the number of lymph node of the 2 groups were compared.Results The tumor proximal and distal resection margin,anal exhaust time,postoperative feeding time in the control group were better than those of the experimental group（ P 0.05）; the number of lymph node dissection in the control group was significantly higher than that of the experimental group（ P 0.05）.Operation time,pain duration and complication rates of the 2 groups had no statistically significant difference（ P 0.05）.Conclusion Laparoscopic radical resection for early gastric cancer is safe and feasible,the treatment effect is significant with less injury,it is worthy of clinical promotion.

关 键 词：腹腔镜缩小根治术 早期胃癌 安全性 

分 类 号：R735.2[医药卫生—肿瘤]