腹腔镜辅助进展期近端胃癌根治术近期效果分析.docVIP

精品论文 参考文献 腹腔镜辅助进展期近端胃癌根治术近期效果分析 袁兵1 孙作成2(通讯作者) 张建友2 　　(1潍坊医学院 261053；2潍坊市人民医院 261053) 　　【摘要】 目的 探究腹腔镜辅助下近端胃癌根治术与开腹近端胃癌根治术的疗效。方法 回顾性分析我院于2012年9月至2013年10月因胃癌接受手术治疗的进展期近端胃癌患者78例，其中36例接受腹腔镜辅助下近端胃癌根治术（腹腔镜组），42例接受开腹近端胃癌根治术（开腹组）,观察两组近期指标及免疫功能指标的差异。结果 腹腔镜组在手术时间、切缘与肿瘤距离及清扫淋巴结总数上与开腹组无统计学差异;在术中平均出血量、术后肛门首次排气时间、术后平均住院时间优于开腹组;腹腔镜组术后营养及免疫指标优于开腹组。结论 腹腔镜辅助胃癌根治术微创优势明显，且能够达到与开腹手术相当的根治效果。 　　【关键词】胃癌 腹腔镜辅助 近端胃癌根治术 免疫功能 　　【中图分类号】R730.5 【文献标识码】A 【文章编号】1672-5085（2013）46-0274-03 　　Short-term effect of laparoscopy-assisted radical proximal gastrectomy for advanced stomach carcinoma 　　YUAN Bing1,SUN zuo-cheng2,ZHANG Jian-you1 　　(1Weifang Medical College,Weifang 261053,China;2Department of Surgery,Weifang People`s Hospital Affiliated to Weifang Medical College) 　　【Abstract】Objective To explore the feasibility and efficacy of laparoscopy-assisted radical proximal gastrectomy. Methods The clinical data of 36 cases received laparoscopy-assisted proximal radical gastrectomy(group LAPG) from September 2011 to October 2013 and 42 cases received open proximal gastrectomy (group OPG) at the same period in our hospital were compared. The difference of perioperative indicators and immune parameters were primarily compared between the two groups. Results The surgical margin and the number of harvested lymph nodes, compared with group OPG was no significant difference(Pgt;0.05).The mean operation time，amount of bleeding，first flatus and frequency of analgesics use of group LAPG were less than those of group OPG(Plt;0.05);the nutrition and immune parameters were better than those of group OPG(Plt;0.05). Conclusion Laparoscopic-assisted gastrectomy is feasible and safe for patients with proximal advanced stomach carcinoma. The short-term outcomes of the procedure is favorable, but the long-term outcome remains uncertain. 　　【Key words】Gastric cancer Laparoscopy-assisted Radical Proximal Gastrectomy for gastric cancer Immunity 　　1994年Kita