摘要
目的探讨肥胖胃癌患者行腹腔镜胃癌根治术的近期疗效。方法回顾性分析我院胃肠外科2012年1月至2015年6月期间经腹腔镜行胃癌根治术的362例患者的临床资料。按体质指数将患者分为三组,其中正常体质量组207例,超重组119例,肥胖组36例。比较三组患者的一般情况、术前分期、手术指标、术后恢复指标及相关并发症情况。结果三组患者在年龄、性别、术前分期方面比较差异均无统计学意义(P>0.05);三组患者的手术时间[(187.6±37.4)min vs(196.9±35.3)min vs(208.2±38.2)min]、术中出血量[(82.7±26.2)m L vs(89.7±22.7)m L vs(103.5±32.2)m L]、排气时间[(3.7±1.2)d vs(4.1±1.3)d vs(4.3±1.4)d]、淋巴结清扫数[(27±6.3)个vs(25±4.5)个vs(24±5.6)个]、住院时间[(12.9±4.8)d vs(13.9±4.2)d vs(14.7±5.5)d]比较差异均无统计学意义(P>0.05);术后三组患者吻合口瘘发病率(4.83%vs 4.20%vs 5.56%)、切口感染率(2.42%vs 3.36%vs 11.11%)、肠梗阻发病率(3.38%vs 3.36%vs 5.56%)等比较差异亦均无统计学意义(P>0.05)。结论腹腔镜胃癌根治术在肥胖胃癌患者中应用是安全可行的。
Objective To explore the short-term efficacy of laparoscopic radical gastrectomy for obesity patients with gastric cancer. Methods The clinical data of 362 patients undergoing laparoscopic radical gastrectomy for gastric cancer in Department of Gastrointestinal Surgery in our hospital from June 2015 to January 2012 were retrospectively reviewed. The patients were divided into 3 groups: normal weight group(207 cases), overweight group(119 cases) and obese group(36 cases). The general situation, preoperative staging, operation index, postoperative recovery index and related complications were compared. Results There was no significant difference in the age, sex and preoperative staging of the three groups(P>0.05). In three groups, the operation time, intraoperative bleeding volume, exhaust time, lymph nodes and hospitalization time were respectively [(187.6±37.4) min vs(196.9±35.3) min vs(208.2±38.2) min],[(82.7±26.2) m L vs(89.7±22.7) m L vs(103.5±32.2) m L], [(3.7±1.2) d vs(4.1±1.3) d vs(4.3±1.4) d], [(27±6.3) vs(25±4.5) vs(24 ± 5.6)], [(12.9 ± 4.8) d vs(13.9 ± 4.2) d vs(14.7 ± 5.5) d], with no significant difference between the three groups(P>0.05). There were no significant differences in the incidence of anastomotic leakage(4.83% vs 4.20% vs 5.56%), incision infection rate(2.42% vs 3.36% vs 11.11%), and the incidence of intestinal obstruction(3.38% vs 3.36% vs 5.56%) of the three groups after surgery(P>0.05). Conclusion Laparoscopic radical gastrectomy for obese patients with gastric cancer is safe and feasible.
出处
《海南医学》
CAS
2016年第14期2280-2282,共3页
Hainan Medical Journal
基金
国家临床重点专科建设项目(编号:[2012]649号)
关键词
肥胖
胃癌
腹腔镜
疗效
Obesity
Gastric cancer
Laparoscope
Efficacy
