腹腔镜辅助胃底贲门癌根治术的临床应用及安全性分析  

Clinical effect and safety observation of laparoscopy assisted radical gastrectomy for gastric fundus and cardia cancer

作　　者：梁栋 LIANG Dong.(Surgery of the Sixth People＇s Hospital of Luoyang, Henan 471003, China)

机构地区：[1]河南省洛阳市第六人民医院外一科,471003

出　　处：《淮海医药》2018年第3期269-270,273,共3页Journal of Huaihai Medicine

摘　　要：目的:探讨腹腔镜辅助胃底贲门癌根治术的临床应用效果及其安全性。方法:选取某院外科收治的74例胃底贲门癌患者,按随机法分为对照组和观察组,各37例,对照组给予传统开腹全胃切术治疗,观察组给予腹腔镜辅助全胃切术治疗,比较2组患者围手术期指标、淋巴结清扫情况、不良事件发生率及病死率。结果:2组患者手术时间、淋巴结清扫情况及病死率比较,差异无统计学意义(P>0.05);观察组术中出血量、住院时间、肛门排气时间及不良事件发生率均低于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜辅助根治胃底贲门癌对患者身体创伤小、安全性高、恢复时间短。Objective：To study the clinical effect and safety of laparoscopy assisted radical gastrectomy for gastric fundus and cardia cancer. Methods：74 cases of gastric cardia cancer in a hospital were randomly divided into a control group and an ohservation group, 37 cases in each. The control group was treated with traditional open gastric resection, while the ohservation group was given laparoscopic gastric resection. Perioperative indexes, lymph node dissection and incidence of adverse events and mortality of the two groups were observed and compared. Results ： The operation time, lymph node dissection and the mortality rate of the two groups were not statistically significant （ P 〉 0.05 ） ; the incidence rate of intraoperative bleeding, hospitalization time, anal exhaust time and adverse events of the observation group were lower or shorter than those of the control group, the difference being statistically significant （ P 〈 0. 05 ）. Conclusion ： Laparoscopy assisted radical gastrectomy tor gastric tundus and cardia cancer has advantages of small traumas, satety and tast recovery tor patients with gastric tundus and cardia cancer.

关 键 词：胃肿瘤 胃底 贲门 腹腔镜 胃切除术 安全性 

分 类 号：R735.2[医药卫生—肿瘤]