腹腔镜辅助胃癌根治术治疗早期和进展期胃癌临床研究.docVIP

腹腔镜辅助胃癌根治术治疗早期和进展期胃癌临床研究 　　[摘要] 目的 探讨腹腔镜辅助胃癌根治性切除术的临床可行性和效果。 方法 回顾性分析该院胃肠外科2012年1月―2014年10月收治的91例胃癌根治性手术患者的临床资料，根据手术方式分为腹腔镜组（采用腹腔镜辅助手术46例）、开腹组（采用传统开腹手术治疗45例），比较两组患者的手术情况及术后并发症的发生情况差异。结果 腹腔镜组的手术时间（192.4±16.6）min显著长于开腹组（P0.05）。两组患者91例患者均顺利完成全部手术过程，腹腔镜组无一例中转开腹手术的患者；腹腔镜组术后并发症发生率为3.33%，明显低于开腹组的23.33%，两组患者间差异有统计学意义（P0.05）。结论 腹腔镜辅助胃癌根治术可彻底清扫引流淋巴结，减少术中出血及术后并发症，临床疗效肯定。 　　[关键词] 腹腔镜辅助；胃癌根治性切除术；临床可行性；开腹手术 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0092-04 　　Clinical Research of Laparoscope-assisted Radical Gastrectomy for Early and Advanced Gastric Cancer 　　XU Ben-wen， YANG Chen-xi， ZHOU Ye-ting 　　Department of General Surgery， Shuayang Peoples Hospital， Shuyang， Jiangsu Province， 223600 China 　　[Abstract] Objective To study the clinical feasibility and efficacy of laparoscope-assisted radical gastrectomy for early and advanced gastric cancer. Methods A retrospective analysis was done on the clinical data of 91 patients with gastric cancer admitted to the Department of Gastrointestinal Surgery from January 2012 and October 2014. According to the treatment regime they were divided into the laparoscopy group in which laparoscope-assisted radical gastrectomy was performed for the 46 patients and the laparotomy group in which the 45 patients underwent traditional laparotomy. The indicators of the operation and postoperative complications were compared between the two groups. Results The operation duration was （192.4±16.6） min in the laparoscopy group， significant less than that in the laparoromy group （P0.05. All the 91 patients were treated successfully without conversion from laparoscope-assisted radical gastrectomy to laparotomy surgery. The postoperative complication rate（3.33% vs 23.33%） was significantly lower in the laparoscopy group than in the laparoromy group with statistical difference （P 　　[Key words] Laparoscopic assisted surgery； Radical gastrectomy； Clinical feasibility； Open operation 　　早期胃癌患者多无明显的不适，少数患者可有恶心、呕吐或上腹部不适等轻微症状，胃癌根治性手术效果佳，患者5年生存率高。进展期胃癌