摘要
目的:探讨腹腔镜下胃癌D2淋巴结清扫术治疗进展期胃癌的临床效果及预后。方法:选取2017年5月-2019年5月就诊于本院的80例进展期胃癌患者,按随机数字表法将其分为对照组与试验组,各40例。对照组行开腹胃癌D2根治术,试验组行腹腔镜下胃癌D2淋巴结清扫术。比较两组手术相关指标、术后并发症发生情况及生活质量。结果:试验组术中出血量少于对照组,胃肠功能恢复时间、术后住院时间及术后首次排气时间均短于对照组,而手术用时长于对照组(P<0.05)。两组淋巴结清扫数量比较,差异无统计学意义(P>0.05)。试验组术后并发症发生率为5.00%,低于对照组的25.00%(P<0.05)。试验组各项生活质量评分均高于对照组(P<0.05)。结论:腹腔镜下胃癌D2淋巴结清扫术治疗进展期胃癌可促进术后恢复,降低并发症发生率,提升生活质量,值得临床推广。
Objective:To investigate the clinical effect and prognosis of laparoscopic D2 lymph node dissection for advanced gastric cancer.Method:A total of 80 patients with advanced gastric cancer admitted to our hospital from May 2017 to May 2019 were selected.They were divided into the control group and the experimental group according to the random number table method,40 patients in each group.The control group was treated with laparotomy with D2 radical gastrectomy,while the experimental group was treated with laparoscopic D2 lymph node dissection.The operation related indexes,postoperative complications and quality of life were compared between the two groups.Result:The amount of intraoperative blood loss in the experimental group was lower than that in the control group,and the recovery time of gastrointestinal function,postoperative hospital stay and postoperative first exhaust time shorter than those in the control group,while the operation time was longer than that in the control group (P<0.05).There was no significant difference in the number of lymph node dissection between the two groups (P>0.05).The postoperative complication rate in the experimental group was 5.00%,it was lower than 25.00% in the control group (P<0.05).All quality of life scores in the experimental group were higher than those in the control group (P<0.05).Conclusion:Laparoscopic D2 lymph node dissection for advanced gastric cancer can promote postoperative recovery,reduce the incidence of complications,and improve the quality of life,which is worthy of clinical promotion.
作者
胡继龙
倪淼才
张秉韬
李其云
HU Jilong;NI Miaocai;ZHANG Bingtao;LI Qiyun(Jiangxi Cancer Hospital,Nanchang 330029,China;不详)
出处
《中国医学创新》
CAS
2020年第27期65-68,共4页
Medical Innovation of China
关键词
进展期胃癌
胃癌D2淋巴结清扫术
腹腔镜
Advanced gastric cancer
Gastric cancer D2 lymph node dissection
Laparoscopic
