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作 者:闫平钊 杨小花 YAN Ping-zhao, YANG Xiao-hua(General Surgery Department, People's Hospital of Tongchuan, Tongchuan 727000, China)
机构地区:[1]陕西省铜川市人民医院普外科,陕西铜川727000
出 处:《临床医学研究与实践》2018年第24期71-73,共3页Clinical Research and Practice
基 金:铜川市科技局基金(No.kj2015)
摘 要:目的评价腹腔镜辅助全胃切除术(LATG)与开腹全胃切除术(OTG)的临床疗效,并确定LATG的可行性和安全性。方法选取我院2009年8月至2014年1月收治的56例接受全胃切除术的胃癌患者,根据手术方法分为LATG组及OTG组,比较两组手术情况及术后疗效。结果两组手术时间、吻合时间、术中出血量、淋巴结清扫数目、术后白细胞、C-反应蛋白及白蛋白水平比较,差异不具有统计学意义(P>0.05)。LATG组首次肛门排气时间、首次进食时间、住院时间、镇痛药物使用时间均显著短于OTG组(P<0.05)。两组术后并发症、吻合口相关并发症发生率比较,差异不具有统计学意义(P>0.05),且两组术后30 d内均无死亡病例。结论 LATG的效果并不逊色于OTG,LATG用于胃癌在技术上是可行和安全的。Objective To evaluate the clinical efficacy of laparoscopic-assisted total gastrectomy(LATG) and open total gastrectomy(OTG), and determine the feasibility and safety of LATG. Methods From August 2009 and January 2014, 56 gastric cancer patients undergoing total gastrectomy were selected in our hospital. They were divided into LATG group and OTG group according to the surgery methods, and the surgical conditions and postoperative efficacies were compared between the two groups. Results The differences of operative time, anastomosis time, amount of intraoperative blood loss,number of lymph node dissection, postoperative levels of leukocyte, C-reactive protein and albumin between the two groups were not statistically significant( P〈0.05). The first anal exhaust time, first feeding time, hospitalization time and analgesic drug use time in the LATG group were significantly shorter than those in the OTG group(P〈0.05). The differences of occurrence of postoperative complications and anastomotic-related complications between the two groups were not statistically significant(P〈0.05), and there were no deaths within 30 d after surgery in both groups. Conclusion The effect of LATG is not inferior to OTG, it is technically feasible and safe to use LATG for gastric cancer.
关 键 词:腹腔镜辅助全胃切除术(LATG) 开腹全胃切除术(OTG) 胃癌
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