摘要
目的通过与传统开腹胃癌根治术(open gastrectomy,OpEN)比较,探讨腹腔镜胃癌根治术(laparoscopic assisted gastrectomy,LAP)治疗胃癌的安全性和可行性。方法回顾性分析2008年1月—2010年1月确诊为胃癌患者93例,其中采用LAP治疗49例,采用OPEN治疗44例,比较2组的手术时间、术中出血量、术后胃肠道功能恢复时间、术后住院时间、术后并发症及随访结果等。结果 LAP组患者术中出血量、胃肠道恢复时间和住院时间均明显少于OPEN组,且无瘤生存率以及并发症发生率也优于OPEN组,但其手术时间较长,差异有统计学意义(P<0.05);LAP组局部复发和远处转移与OPEN组差异无统计学意义(P>0.05)。结论 LAP治疗胃癌安全可靠,短期随访效果肯定。
Objective To compare the therapeutic effects between laparoscopic gastrectomy and open gastrectomy for gastric cancer. Methods The clinical data of 93 patients with gastric cancer from June 2005 to June 2008, which were divided into control group （including 44 patients received lonventional open gastrectomy） and observation group （including 49 patients received laparoscopie gastrectomy） , were retrospectively analyzed. The operative time, intraoperative blood loss, postoperative gastrointestinal recovery time, postoperative hospital stay, and complications were observed and compared between the two groups. Results The intraoperative blood loss, postoperative gastrointestinal recovery time, and postoperative hospital stay were shorter, and the disease -free survival rate and complication rate were superior in observation group than those of control group, but the operative time of observation group was longer than that of control group （ P 〈 0.05 ）. There was no significant difference in local recurrence and distant metastasis between the two groups. Conclusion The laparoseopic gastrectomy is safe and reliable in the treatment of gastric cancer with certain short - term follow - up effect.
出处
《河北医科大学学报》
CAS
2011年第9期1004-1006,共3页
Journal of Hebei Medical University
关键词
胃肿瘤
腹腔镜检查
治疗结果
stomach neoplasms
laparoscopy
treatment outcome
