摘要
[目的]对比腹腔镜下手术与传统开腹手术在远端胃癌D2根治术治疗中的价值。[方法]50例远端胃癌患者分为对照组(即单纯开腹手术组)和试验组(即腹腔镜下手术组),每组均为25例。比较两组患者的手术时间和出血量,术后患者的恢复情况(包括排气时间、进食时间、下床时间、止痛药的使用情况)、患者的住院天数、手术切口长度、清扫淋巴结数、手术并发症等。[结果]试验组的手术时间(218.9±35.6)min长于对照组(168.1±23.9)min,但是术中出血量(129.3±56.1)ml少于对照组(180.0±23.1)ml。试验组术后恢复情况优于对照组:排气时间为(2.2±0.8)dvs(3.3±1.2)d;进食时间为(4.2±1.3)dvs(7.1±0.9)d;下床时间为(5.6±1.1)dvs(8.3±1.4)d。试验组的住院天数少,同时伤口长度小,均有统计学意义(P<0.05)。[结论]腹腔镜下行远端胃癌D2根治术,临床治疗效果明显优于传统开腹手术。
[Purpose] To compare the value of laparoscopic surgery with traditional open surgery in distal gastrectomy with D2 lymphadenectomy for gastric cancer. [Methods] Fifty cases with distal gastric cancer were divided into control group （open surgery alone, 25 cases） and experi- mental group（laparoseopic surgery, 25 cases）. Operation time,blood loss in the process of opera- tion ,patient＇s recovery （including start pass wind, start ingestion, time to get out of bed, anal- gesic use）, hospitalization days, length of wound, number of lymph node dissection and postoper- ative complications in the two groups were compared. [ Results ] Hospitalization days in experi- mental group were longer than that in control group[（218.9±35.6）min vs （168.1±23.9）min] ,and blood loss in experimental group was less than that in control group[ （129.3±56.1）ml vs（ 180.0±23.1）ml]. Postoperative recovery in experimental group was better than that in control group, which included start pass wind [（2.2±0.8）d vs （3.3±1.2）d）],start ingestion [（ 4.2±1.3）d vs （7.1±0.9）d] ,time to get out of bed[ （5.6±1.1）d vs （8.3±1.4）dl. Compared with control group, hospitalization days in experimental group were shorter and length of wound was smaller （P〈0.05）. [ConclusionlClinieal effect of laparoscopic distal gastrectomy with D2 lymphadenectomy is obviously better than traditional open gastrectomy.
出处
《肿瘤学杂志》
CAS
2013年第4期289-291,共3页
Journal of Chinese Oncology
关键词
腹腔镜
开腹手术
胃肿瘤
胃切除术
laparoscopy
open surgery
gastric neoplams
gastrectomy
