超重对行胃癌根治术患者近期临床疗效的影响  

Impact of overweight on short-term outcomes of radical gastrectomy on gastric cancer patients

作　　者：郭绍春[1] 王进[1] 王海江[1] 仇广林[1] 常帅[1] 贺仕才[1] 周力波[1] 车向明[1] 

机构地区：[1]西安交通大学第一附属医院普通外科,陕西西安710061

出　　处：《西安交通大学学报（医学版）》2017年第2期310-313,共4页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：国家自然科学基金资助项目(No.81472245)~~

摘　　要：目的探讨超重对于胃癌根治术近期疗效的影响。方法回顾性收集2009年1月至2012年12月于我科行胃癌根治术的患者166例(超重组102例,非超重组64例),比较两组患者术中、术后以及近期生存情况。结果超重组手术时间明显长于非超重组[(237.70±59.16)min vs.(210.55±54.49)min,P<0.05)),术中出血量亦明显高于非超重组[(346.41±223.63)mL vs.(276.77±155.46)mL,P<0.05)];两组的术中总淋巴结清扫数、肛门排气时间、进食时间、术后住院时间以及术后并发症的差异均无统计学意义。超重组和非超重组的3年生存率分别为76.8%和65.1%,差异无统计学意义(P>0.05)。结论超重会延长手术时间和增加术中的出血量,但不会影响手术的近期疗效。Objective To investigate the impact of overweight on short-term outcomes of radical gastrectomy on gastric cancer（GC）.Methods We collected retrospectively the clinical data of 166 GC patients（102overweight and 64 non-overweight ones）who had undergone radical resection in our department from January 2009 to December 2012.We then compared the two groups in intraoperative and postoperative parameters as well as short-term survival rate.Results The operation time of overweight GC patients was longer than that of nonoverweight GC ones（237.70±59.16）min vs.（210.55±54.49）min（P〈0.05）;the intraoperative blood loss of overweight GC patients was more than that of non-overweight GC patients（346.41±223.63）mL vs.（276.77±155.46）mL（P〈0.05）.There were no significant differences between the two groups in the number of retrieved lymph nodes,the first flatus time,the first time to have liquid diet,postoperative hospitalization time,postoperative complications,or postoperative 3-year overall survival rate（76.8% and 65.1%）（all P〉0.05）.Conclusion Overweight is associated with longer operation time and more intraoperative blood loss,but it does not affect the short-term outcomes of the operation.

关 键 词：胃癌 超重 体质量指数 生存率 胃癌根治术 

分 类 号：R735.2[医药卫生—肿瘤]