摘要
目的比较不同手术入路行腹腔镜下保留脾的脾门区淋巴结清扫(LSPL)的疗效。方法根据手术入路的不同方式,将40例行LSPL的患者分为观察组(18例)与对照组(22例),观察组采取左侧入路,对照组行右侧入路,比较两组手术效果及术后6个月生活质量情况。结果观察组腹腔镜手术时间、脾门区淋巴结清扫时间均显著短于对照组,脾门区淋巴结清扫数目显著多于对照组(P<0.05);两组并发症发生率、术后6个月生活质量评分比较均无统计学差异(P>0.05);术后6个月,两组均无肿瘤局部复发及肿瘤远处转移发生。结论左侧入路或右侧入路行LSPL,在并发症、近期预后、近期生活质量上相当,但左侧相比右侧入路脾门清扫时间短,脾门清扫数目多。
Objective To compare the effects of different surgical approaches to LSPL.Methods A total of 40 patients scheduled for LSPL were divided into an observation group(n=18)and a control group(n=22)according to the surgical approach.Left approach was performed on the observation group and right approach on the control group to compare the living quality of patients six months after the operation.Results The periods of laparoscopic operation and splenic portal lymph node dissection in the observation group were significantly shorter than those in the control group.The number of splenic portal lymph node dissection was significantly greater than that in the control group(P<0.05).No statistically significant differences in complication probability and 6-month postoperative living quality were found between the two groups(P>0.05).No local recurrence or distant metastasis was found in the patients in both groups during the six months after the operation.Conclusion Left and right-approach to LSPL can achieve equivalent effects in terms of complication probability,near-term prognosis and near-term living quality.However,left approach operation costs less time in splenic portal lymph node dissection than right approach while the number of splenic portal lymph node dissection is greater than the latter.
作者
黎峰
禤锦峰
龚超
Li Feng;Xuan Jinfeng;Gong Chao(No.1 Ward,Department of General Surgery,Wuzhou Red Cross Hospital,Wuzhou,Guangxi,543000,China)
出处
《西南国防医药》
CAS
2018年第4期318-320,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
腹腔镜
胃癌
根治术
脾门
淋巴结
清扫
入路
laparoscope
gastric cancer
radical operation
hilus lienis
lymph gland
dissection
approach
