摘要
目的探讨腹腔镜胃癌D2根治术治疗胃癌患者的效果及手术方法。方法回顾性分析南阳市医学高等专科学校第一附属医院2011年2月—2013年2月间胃肠外科手术治疗的100例胃癌患者的临床资料,其中采用腹腔镜手术治疗50例(腹腔镜组)、开腹手术治疗50例(开腹组),对比两组患者的围术期指标、手术并发症及术后2年复发情况差异。结果腹腔镜组的手术时间长于开腹组(P<0.05),腹腔镜组患者的术中出血量、输血率、切口长度、肛门排气时间、进食时间、住院时间均短于开腹组患者(P<0.05);腹腔镜组和开腹组T1期、T2期、T3期及总淋巴结清扫数目比较,差异无统计学意义(P<0.05);术后腹腔镜组的白细胞计数低于开腹组、红细胞计数高于开腹组(P<0.05);腹腔镜组和开腹组患者的手术并发症发生率比较,差异无统计学意义(P>0.05);腹腔镜组患者2年无瘤生存率、存活率与开腹组患者比较,差异无统计学意义(P>0.05)。结论腹腔镜胃癌D2根治术与开腹手术的效果相当,而且具有手术创伤小、术后患者恢复快的优势。
Objective To investigate the effect and surgical method of laparoscopic D2 radical gastrectomy for gastric cancer. Methods Retrospective analysis of the First Affiliated Hospital of Nanyang City Medical College in February 2011-February 2013 gastrointestinal surgery in 100 cases of gastric cancer patients with clinical data,50 cases( laparoscopic group)were treated by laparoscopic surgery,50 cases( laparotomy group) were treated by laparotomy,and the perioperative indexes,the complication of operation and the recurrence of 2 years were compared. Results The operation time of the laparoscopic group was longer than the laparotomy group( P < 0. 05); laparoscopic group of patients with intraoperative blood loss,blood transfusion rate,length of incision,anal exhaust time,eating time,hospitalization time was shorter than laparotomy group patients( P <0. 05); The number of T1, T2, T3 and total lymph node dissection in laparoscopic group and laparotomy group was not statistically significant( P < 0. 05); The WBC count in laparoscopic group was lower than that in laparotomy group,and the red blood cell count was higher in laparotomy group( P < 0. 05); There was no significant difference in the incidence of surgical complications between the laparoscopic group and the open group( P > 0. 05); The 2 year disease-free survival rate and survival rate in the laparoscopic group were not significantly different from those in the laparotomy group( P > 0. 05). Conclusion Laparoscopic D2 radical gastrectomy has the same effect with laparotomy,and the advantages of less trauma and quick recovery of postoperative patients.
出处
《中国全科医学》
CAS
北大核心
2017年第A01期87-89,共3页
Chinese General Practice
关键词
胃肿瘤
腹腔镜检查
手术中并发症
Stomach neoplasms
Laparoscopy
Intraoperative complications
