腹腔镜辅助进展期胃癌D2根治术的安全性及疗效分析  

Analysis of safety and efficacy of laparoscopic assisted D2 radical resection of advanced gastric cancer

作　　者：叶淼 YE Miao(Fuzhou First People's Hospital,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市第一人民医院,江西抚州344000

出　　处：《当代医学》2022年第8期15-17,共3页Contemporary Medicine

摘　　要：目的 探讨腹腔镜辅助进展期胃癌D2根治术的安全性及疗效。方法 选取2017年2月至2019年12月本院收治的进展期胃癌患者90例,按随机数字表法分为实验组与对照组,各45例。实验组行腹腔镜胃癌D2根治术,对照组行开腹胃癌D2根治术。比较两组手术相关指标和并发症发生率。结果 实验组手术操作时间为(310.24±25.17)min,长于对照组的(157.40±1.65)min,切口长度、术后首次排气时间、住院时间为(6.54±1.34)cm、(2.68±0.74)d、(10.21±2.06)d,短于对照组的(18.65±2.34)cm、(3.14±0.57)d、(15.01±1.67)d,术中出血量、术后镇痛次数为(100.49±12.09)ml、(1.19±0.34)次,少于对照组的(220.15±15.96)ml、(2.25±0.27)次,差异均有统计学意义(P<0.05);两组淋巴结清扫数量、术后并发症发生率比较差异无统计学意义。结论 腹腔镜辅助进展期胃癌D2根治术治疗效果、安全性与开腹手术相当,但前者具有创伤小、疼痛轻、恢复快等优点,可作为临床优选术式。Objective To investigate the safety and efficacy of laparoscopic assisted radical resection of advanced gastric cancer with D2.Methods 90 patients with advanced gastric cancer treated in our hospital from February 2017 to December 2019 were randomly divided into experimental group and control group,with 45 cases in each group.The experimental group underwent laparoscopic D2 radical resection of gastric cancer,and the control group underwent open D2 radical resection of gastric cancer.The operation-related indicators and the incidence of complications were compared between two groups.Results The operation time of the experimental group was(310.24±25.17) min,which was longer than that of the control group(157.40±1.65) min.The incision length,the first postoperative exhaust time,and the hospital stay were(6.54±1.34) cm,(2.68±0.74) d,(10.21±2.06) d,which were shorter than(18.65±2.34) cm,(3.14±0.57) d,(15.01±1.67) d in the control group,intraoperative blood loss and postoperative analgesia times were(100.49±12.09) ml,(1.19±0.34) times,which were less than(220.15±15.96) ml,(2.25±0.27) times in the control group,the difference was statistically significant(P<0.05);there was no significant difference in the number of lymph nodes dissected and the incidence of postoperative complications between the two groups.Conclusion The therapeutic effect and safety of laparoscopic-assisted radical D2 radical resection of advanced gastric cancer are equivalent to that of laparotomy,but the former has the advantages of less trauma,light pain,and quick recovery,and can be used as a clinically preferred surgical procedure.

关 键 词：进展期胃癌 胃癌D2根治术 腹腔镜 淋巴结清扫数量 并发症 

分 类 号：R735.2[医药卫生—肿瘤]