腹腔镜的与开腹胃癌根治术D2淋巴结清扫的比较研究.pdfVIP

2010 5 10 5 Ch in J M in Inv Surg, M ay 2010, V l. 10. N . 5 395 腹腔镜与开腹胃癌根治术 D2淋巴结清扫的比较研究 * 崔 明 李子禹 邢加迪 马逸远 季加孚 苏向前 ( , 100142) !∀ D2 2007 1 ~ 2009 3 1107, 1 D2, 102( D2) , + D2 ( PG+ D2) 25, + D2( DG+ D2) 60, + D2( TG + D2) 17102 38 , 64 ( 22. 2 # 9. 9 ) ( 23. 4 # 9. 4 ) , ( t= - 0. 651, P = 0514) [ PG+ D2: 19. 4 # 7. 3( n = 8) vs 21. 2 # 8. 5( n = 17); DG + D2: 20. 9 # 10. 8( n = 22) v s 22. 2 # 8. 0( n = 38) ; TG+ D2: 28. 3 # 7. 5( n = 8) vs 32. 8 # 12. 1( n = 9) ], ( t= - 0. 5 17, - 0526, - 0. 913; P = 0. 610, 0. 601, 0. 375) D2, , !∀ ; ; : R735. 2 : A : 1009- 6604( 2010) 05- 0395- 04 Comparison betweenLaparoscopyassistedandConventionalOpenRadicalResection ofGastricCancerwithD2 LymphNode * * * Dissection CuiM ing , L i Z iy u, X ing J iad i , et al. D ivision of M inmi ally Invasive GI Surg ery, K ey Laboratory of Car inogenesis and Translationa l Resear h (M in istry of Edu ation), P eking University S hoo l of On o logy, Beij ing Can erH osp ital Institute, B eij ing 100142, Ch ina !Abstract∀ Objective T evaluate the feasib ility f lapar sc p ic rad ical resecti n f gastric carcin m a w ith D2 lymph n de d issecti n, and c mpare its efficacy w ith c nventi nal pen radical surgery. Methods The clin ical and path l gical data f 110 patients w ith gastric cancer, w h received treatm ent in ur h spital f fr m January 2007 t M arch 2009, were analyzed retr spectively. Am ng the cases, 8were ex cluded because f distantm etastasis ( 7 cases) r regi nal resecti n being perf rm ed ( 1 case). In the ther 102 patients, radical pr xmi al gastrect m y ( PG+ D2) was perf rmed in 25 cases, radical distal gastrect m y ( DG+ D2) in 60 cases, and r