| 摘要: |
| ［摘要］ 目的 比较腹腔镜下远端胃癌根治术与传统开腹手术治疗早期胃癌的临床效果。方法 选取该院2013-11～2014-11收治的72例早期胃癌患者，按随机数字表法分为对照组（36例）和观察组（36例）。对照组行传统开腹手术治疗；观察组于腹腔镜下行远端胃癌根治术治疗。统计两组患者手术时间、切口长度、术中出血量、淋巴结清扫数量、术后肛门排气时间、下床活动时间、恢复半流质时间及住院天数，观察两组患者术后并发症发生情况，随访12个月，了解患者术后复发、癌细胞转移及存活情况。结果 观察组手术时间、切口长度、术中出血量［（168.8±30.9）min、（6.6±2.3）cm、（131.8±63.4）ml］和术后肛门排气时间、下床活动时间、恢复半流质时间及住院天数［（2.9±1.4）、（2.4±0.9）、（7.4±1.6）及（10.7±3.6）d］均短于或少于对照组（P<0.05）；观察组患者术后并发症发生率（8.3%）较对照组（27.6%）低，两组比较差异有统计学意义（P<0.05）。随访12个月，两组患者均无肿瘤局部复发、癌细胞转移及死亡病例，存活率为100.0%。结论 腹腔镜下远端胃癌根治术治疗早期胃癌可获得与开腹手术相同的效果，但其手术时间短，术中出血量少，有利于患者术后尽早恢复，优势更显著。 |
| 关键词: 腹腔镜 远端胃癌根治术 早期胃癌 |
| DOI：10.3969/j.issn.1674-3806.2016.05.12 |
| 分类号:R 616.5；R 735.2 |
| 基金项目: |
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| Comparison of curative effect between laparoscopic distal gastrectomy and open gastrectomy in patients with early gastric cancer |
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SUN Sheng-an, HAN Bao-wei, DONG Shuai-jun, et al.
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Central Hospital of Luoyang Affiliated to Zhengzhou University, Henan 471009, China
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| Abstract: |
| ［Abstract］ Objective To compare the curative effect between laparoscopic distal gastrectomy and open gastrectomy in patients with early gastric cancer.Methods Seventy-two patients with early gastric cancer treated in our hospital from November 2013 to November 2014 were selected as the research subjects and were divided into the control group(n=36) and the observation group(n=36) by the random number table method. The control group was treated with open distal gastrectomy while the observation group was treated with laparoscopic distal gastrectomy. The operation time, length of incision, intraoperative bleeding volume, quantity of lymph node dissection, time of postoperative anal exhaust, time of off-bed activities, semiliquid recovery time, hospital stays and complications were compared between the two groups. The postoperative recurrence, cancer cell metastasis and survival rate were compared between the two groups after a follow-up of 12 months.Results The operation time, length of incision and intraoperative bleeding volume［(168.8±30.9)min, (6.6±2.3)cm, (131.8±63.4)ml］ and time of postoperative anal exhaust, time of off-bed activities, semiliquid recovery time and hospital stays［(2.9±1.4), (2.4±0.9), (7.4±1.6), (10.7±3.6)d］ in the observation group were better than those in the control group(P<0.05); The incidence of postoperative complications in the observation group(8.3%) was significantly lower than that in the control group 27.6%(P<0.05). There were no local recurrence of tumor, cancer cell metastasis and death cases and the survival rate was 100.0% in the two groups after the follow-up.Conclusion Laparoscopic distal gastrectomy has the same clinical effect as open surgery in the treatment of early gastric cancer, however, the operation time is shorter and the intraoperative bleeding volume is less in the patients with laparoscopic distal gastrectomy, which is beneficial for patients to recover from operation as soon as possible. |
| Key words: Laparoscopy Distal gastrectomy Early gastric cancer |
