摘要
目的比较腹腔镜和传统开腹胃癌根治术,分析腹腔镜胃癌根治术治疗早期胃癌的临床疗效。方法回顾我院2005年1月～2011年12月期间的56例早期胃癌根治术患者,其中腹腔镜组32例,开腹组24例,比较两组的临床观察指标。结果腹腔镜术32例患者均在腹腔镜下完成胃切除和淋巴结清扫,无中转开腹病例。术中出血量分别为(152.6±184.3)mL和(261.3±211.1)mL,腹腔镜组明显低于开腹组(P<0.05);术后肛门平均排气时间分别为3 d和4 d,腹腔镜组明显短于开腹组(P<0.01)。结果腹腔镜胃癌根治术治疗早期胃癌安全有效,具有创伤小、出血少、术后恢复快等微创优点。
Objective To evaluate the feasibility of laparoscopie radical gastreetomy in early gastric cancer through the comparison with open procedure. Methods A total of 56 patients with early gastric cancer who received radical gastrectomy from January 2005 to December 2011 were retrospectively reviewed and analyzed, where laparoscopic procedure was under- gone in 32 patients and open group was in 24 patients. Results In the laparoscopic group,no case was converted to open surgery. The laparoscopic group had less blood loss and time to passage of flatus than those of open group （152.6_＋184.3） mL vs （261.3_＋211.1） mL （P 〈 0.05）, （3 d vs 4 d） （P 〈 0.01）. Conclusion Laparoscopic radical gastrectomy for early gastric cancer is feasible and safe,benefit of minimally invasiveness, less blood loss and quicker postoperative recovery.
出处
《中国现代医生》
2012年第30期40-42,共3页
China Modern Doctor
关键词
淋巴结清扫
腹腔镜
早期胃癌
Lymphadenectomy
Laparoscopy
Early gastric cancer
