摘要
目的分析腹型肥胖对胃癌患者腹腔镜远端胃癌根治术近期疗效的影响。方法回顾性分析2016年1月至2017年12月腹腔镜远端胃癌根治术治疗的100例胃癌患者临床资料,依据身体质量指数(BMI)分为肥胖组(≥25 kg/m^(2),n=40例)和正常组(<25 kg/m^(2),n=60例),采用SPSS 25.0统计软件处理数据,围手术期各项指标等计量资料采用(x±s)表示,独立样本t检验;并发症发生率等计数资料采用[n(%)]表示,行X^(2)检验。P<0.05表示差异有统计学意义。结果肥胖组患者手术用时长于正常组,术中出血量多于正常组,淋巴结清扫枚数少于正常组(P<0.05);肥胖组患者术后并发症发生率42.5%、复发率12.5%,均大于对照组10.0%、3.3%(P<0.05);肥胖组患者无病生存率62.5%、总生存率75.0%,正常组为63.3%、78.3%,两组差异无统计学意义(P>0.05)。肥胖组患者复发率12.5%,大于正常组3.3%,两组差异有统计学意义(P<0.05)。结论腹型肥胖对胃癌患者腹腔镜远端胃癌根治术疗效具有一定影响且会加大术后并发症发生以及复发风险。
Objective To analyze the effect of abdominal obesity on the curative effect of gastric cancer patients with laparoscopic distal gastric cancer radical resection.Methods The clinical data of 100 patients with gastric cancer who underwent laparoscopic distal gastric cancer radical resection from January 2016 to December 2017 were retrospectively analyzed.They were divided into obese group(≥25 kg/m^(2),n=40 cases)and normal group based on BMI(<25 kg/m^(2),n=60 cases),SPSS 25.0 statistical software was used for data processing.Perioperative indicators and other measurement data were expressed by(x±s),independent t test was performed.The isometric data of complication rate was expressed by[n(%)],and P<O.05 was statistically significant by X^(2)test.Results The operation time of the obese group was longer than that of the normal group,the blood loss was more than that of the normal group,and the number of lymph node dissections was less than that of the normal group(P<O.05).The incidence of postoperative complications and recurrence in obesity group were 42.5%and 12.5%,respectively,higher than those in control group(10.0%and 3.3%,P<O.05).The disease-free survival rate was 62.5%,and the overall survival rate was 75.0%in the obese group,and the normal group was 63.3%,78.3%.There was no statistically significant difference between the two groups(P>O.05).The recurrence rate of obese group was 12.5%,which was higher than that of normal group by 3.3%,and the difference was statistically significant(P<O.05).Conclusion Abdominal obesity has a certain impact on the efficacy of laparoscopic distal radical gastrectomyfor gastric cancer patients and will increase the risk of complications and recurrence.
作者
朱智勇
马静
陈宜政
Zhu Zhiyong;Ma Jing;Chen Yizheng(Department of General Surgery,Kuitun Hospital Yili Kazakh Autonomous Prefecture,Yili Xinjiang Uygur Autonomous Region 833200,China;Department of Anesthesiology,Kuitun Hospital Yili Kazakh Autonomous Prefecture,Yili Xinjiang Uygur Autonomous Region 833200,China)
出处
《中华普外科手术学杂志（电子版）》
2022年第3期295-298,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
肥胖
腹部
胃肿瘤
腹腔镜远端胃癌根治术
手术后并发症
Obesity,abdominal
Stomach neoplasms
Laparoscopic distal gastric cancer radical resection
Postoperative complications
