腹腔镜辅助远端胃癌根治术治疗早期胃癌的临床研究-外科学(普外科)专业论文.docxVIP

上海交通大学医学院硕士学位论文 Results In the LADG group , no case was converted to open surgery. The mean operative time was similar between the two groups (177.9±31.0min in LADG group vs 204.3±51.5min in Open surgery group). The LADG group has less blood loss and time to passage of flatus than those of open group (142.9±140.9ml vs 234.4±147.7ml, 3.6±1.1 d vs 4.5±1.6d. The mobidity of LADG procedure is lower than that of open surgery (15.4% vs 26.5%), but there was no significant difference between them. There was no postoperative death in the two groups. Regarding to the complication rate, number of harvested lymph nodes, proximal and distal margins , there was no significant difference between them. All margins were tumor free. Pneumoperitonium filtrated by normal saline was taken to cytologic test, no tumour cells were found in any case of them. There was no significant difference between LADG group and Open group in the total cost. All patients in LADG group were alive without recurrence during a median follow up of 24 months (range 1~47 months) while one patient was died of peritoneal metastasis in open group. Conclusion Laparoscopic-assiested distal gastrectomy for early gastric cancer is feasible and safe, and as effective as open surgery in extended lymphadenectomy, with the benefit of minimally invasiveness, less blood loss and operation time, quicker postoperative recovery. The long-term result remains to be investigated. Key words laparoscopic, gastrectomy，early gastric cancer, lymph node dissection - 4 - 上海交通大学 学位论文原创性声明 本人郑重声明：所呈交的学位论文，是本人在导师的指导下，独立 进行研究工作所取得的成果。除文中已经注明引用的内容外，本论文不 包含任何其他个人或集体已经发表或撰写过的作品成果。对本文的研究 做出重要贡献的个人和集体，均已在文中以明确方式标明。本人完全意 识到本声明的法律结果由本人承担。 学位论文作者签名： 日期： 年 月 日 上海交通大学 学位论文版权使用授权书 本学位论文作者完全了解学校有关保留、使用学位论文的规定，同 意学校保留并向国家有关部门或机构送交论文的复印件和电子版，允许 论文被查阅和借阅。本人授权上海交通大学可以将本学位论文的全部或 部分内容编入有关数据库进行检索，可以采用影印、缩印或扫描等复制 手段保存和汇编本学位论文。 保密□，在 年解密后适用本授权书。 本学位论文属于 不保密□。 （请在以上方框内打“√”） 学位论文作者签名： 指导教师签名： 日期： 年 月 日 日期： 年 月 日 上海交通大学医学院硕士学位论文 上海交通大学医学院硕士学位论文 - - PAGE 12 - 腹