摘要
目的探讨腹腔镜下治疗进展期远端胃癌的临床疗效与安全性。方法回顾性分析2011年7月至2014年12月收治的200例行胃癌D2根治术的进展期远端胃癌患者的临床资料,分为腹腔镜组(100例,行腹腔镜下胃癌D2根治术)和开腹组(100例,行开腹胃癌D2根治术),采用SPSS17.0软件进行统计学分析,手术效果相关指标及术后恢复指标等以(x珋±s)表示,采用t检验;术后并发症发生率、复发率及1年内病死率等组间比较采用χ2检验,P<0.05为差异有统计学意义。结果在手术效果方面,腹腔镜组患者手术时间、术中出血量和切口长度明显少(短)于开腹组P<0.05);两组患者淋巴结清扫数目、近切缘距肿瘤距离及远切缘距肿瘤距离差异均无统计学意义(均P>0.05)。在术后恢复方面,腹腔镜组术后首次通气时间、术后下床活动时间、进食流质饮食时间以及平均住院时间均明显少于开腹组(均P<0.05);两组患者术后并发症发生率、复发率及1年内病死率比较,差异均无统计学意义(均P>0.05)。结论腹腔镜下治疗进展期远端胃癌是安全可行的,能够取得良好的临床疗效。
Objective To investigate the clinical effects of laparoscopy-assisted radical distal gastrectomy for gastric cancer. Methods The clinical data of 200 patients with advanced distal gastric cancer admitted to our hospital from July 2011 to December 2014 were analyzed retrospectively, they were divided into laparoscopy group （100 cases received laparoscopy-assisted radical distal gastrectomy） and laparotomy group （100 cases received radical distal gastrectomy）. Statistical analysis was performed by SPSS17.0 software. Measurement data were expressed as （x ± s ） and were compared by student＇s t test, including operation effect data and post-operative recovery data. Post-operative complication rate, recurrence rate and mortality rate within one year were compared by chi-square test. P 〈 0.05 was considered as significant diflbrence. Results The operation time , length of incision, blood loss in the laparoscopy group were less （shorter） than those IN the laparotomy group , there were statistically significant differences between the two groups （ P 〈 0.05 ） , while there were no significant differences in the proximal margin length, distal margin length, and the number of removed lymph nodes between the two groups （P 〉 0.05）. The first flatus time , The time of ambulation , first feeding time and the average hospitalization time in laparoscopy group were significantly less than those of the laparotomy group （ P 〈 0.05 ） , while there were no significant differences in the post-operative complication rate, recurrence rate and mortality rate within one year between the two groups （ P 〉 0.05 ）. Conclusion laparoscopy-assisted radical distal gastrectomy for gastric cancer is a safe and feasible which could achieve good clinical efficacy.
出处
《中华普外科手术学杂志（电子版）》
2017年第3期252-254,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
腹腔镜检查
胃肿瘤
剖腹术
治疗结果
Laparoscopy
Stomach neoplasms
Laparotomy
Treatment outcome
