腹腔镜与开腹根治手术治疗进展期远端胃癌的临床应用  

Comparison of the Effectiveness between Laparoscopy-assisted Gastrectomy and Open Gastrectomy for Advanced Distal Gastric Cancer

作　　者：管傲然[1] 李逊[1] 赵维山[1] 朱燕昆[1] 于海东[1] 谢辉[1] 李汝红[1] 

机构地区：[1]昆明医科大学附属延安医院普外一科,云南昆明650051

出　　处：《昆明医科大学学报》2017年第2期114-117,共4页Journal of Kunming Medical University

基　　金：云南省科学技术基金资助项目(2015FB088)

摘　　要：目的比较腹腔镜辅助下胃切除术与传统开腹胃切除术治疗进展期远端胃癌的临床应用疗效.方法选取在昆明医科大学附属延安医院收治的进展期远端胃癌患者56例,将其开腹胃癌根治术分为腹腔镜组和开腹组(每组n=28例),分别行腹腔镜辅助远端胃癌根治术和开腹远端胃癌根治术,观测2组的手术情况及术后住院时间、术中出血量、淋巴结清扫数目、术后肠排气时间和术后并发症发生率.结果腹腔镜组患者的手术时间明显长于开腹组,但术中出血量、术后住院时间、术后肠排气时间和术后并发症发生率明显低于开腹组(P<0.05);2组淋巴结清扫数目无明显差异(P>0.05).结论腹腔镜辅助下胃切除术治疗进展期远端胃癌患者,具有创伤小,术中出血量少,恢复快,术后住院时间,术后并发症发生率低的优点,应作为治疗进展期远端胃癌的首选手术方法.Objective To compare the effectiveness of laparoscopy- assisted gastreetomy （LAG） and open gastrectomy （OG） for advanced distal gastric cancer （ADGC） Methods 56 patients with advanced distal gastric cancer from our hospital were divided into LAG group and OG group （n=28） , and each group was performed LAG and OG respectively. Operation situation, intraoperative blood loss, the number of dissected lymph nodes, postoperative passage of flatus, postoperative hospital stay and postoperative complications were observed in two groups. Results Operation time of patients was significantly longer in LAG group than OG group, but intraoperative blood loss, postoperative hospital stay, postoperative passage of flatus and postoperative eomplication rates were significantly lower in LAG group compared with OG gronp （P 〈 0.05） . There were no statistical differences in lymph node dissection between the two groups （P 〉 0.05） . Conclusion LAG had the benefits of smaller trauma, less intraoperative blood loss, faster postoperative recovery, shorter hospital stay and lower incidence of postoperative complications for surgical treatment of patients with ADGC. Therefore, LAG is suggested to be used as the first choice method for surgical treatment of this disease.

关 键 词：腹腔镜辅助下胃切除术 传统开腹胃切除术 进展期远端胃癌 

分 类 号：R735.2[医药卫生—肿瘤]