摘要
目的 探讨腹腔镜下进展期胃癌D2根治术的疗效与安全性.方法 选取本院2010年11月～2012年9月收治的进展期胃癌患者72例,其中以行腹腔镜下胃癌D2根治术的36例患者为观察组,以行开腹胃癌根治术治疗的36例患者为对照组,对比两组的治疗效果.结果 对照组的手术时间为（334.6±9.5）min,术中出血量为（164.2±6.9）ml,淋巴结清扫数量为（12±3）枚,排气时间为（5.2±2.3）d,下床活动时间为（3.8±1.1）d,观察组分别为（307.8±8.2）min、（142.3±5.9）ml、（13±4）枚、（3.0±1.1）d,（2.0±0.9）d,观察组的手术时间、排气时间及下床活动时间均显著短于对照组,术中出血量显著少于对照组（P＜0.05）.两组患者术后均无近期并发症,经2～20个月随访均无Trocar种植及远处转移.结论 腹腔镜胃癌D2根治术效果良好且安全性高,值得临床推广.
Objective To evaluate the curative effect and safety of laparoscopic D2 radical gastrectomy for advanced gastric carcinoma. Methods 72 eases with advanced gastric carcinoma treated in our hospital from November 2010 to September 2012 were selected,among them,36 patients treated with laparoscopic D2 radical gastrectomy were selected as the observation group,another 36 eases treated with the open radical correction for gastric cancer were selected as the control group.The treatment effect in the two groups was compared. Results In the control group,operation time was （334.6±9.5）min,the amount of bleeding during operation was （164.2±6.9） ml,the amount of lymph node dissection was （12±3）,the exhaust time was （5.2±2.3） days,time to ambulation was （3.8±1.1） days while in the observation group,operation time was （307.8±8.2） rain,the amount of bleeding during operation was （142.3±5.9）ml, the amount of lymph node dissection was（13±4）,the exhaust time was（3.0±1.1）days,timc to ambulation was （2.0±0.9） d,and operation time,exhaust time and time to ambulation in the observation group were obviously shorter than those the control group,the amount of bleeding during operation in the observation group was significantly less than that of the control group （P〈0.05）.Paticnts in the two groups had no recent complications,after 2-20 months follow-up,there was no Trocar implant and distant metastasis. Conclusion Laparoscopie D2 radical gastrectomy for gastric cancer has good effect and high safety,and it is worthy of clinical application.
出处
《中国当代医药》
2014年第29期34-35,38,共3页
China Modern Medicine
关键词
腹腔镜
进展期胃癌
根治术
Laparoscope
Advanced gastric cancer
Radical correction
