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腹腔镜辅助胃窦癌根治性远端胃大部分切除术与开腹手术的对比研究

周永辉 彭翔 邓建中 朱佳成 廖珊

中国全科医学2011,Vol.14Issue(2):190-192,195,4.
中国全科医学2011,Vol.14Issue(2):190-192,195,4.

腹腔镜辅助胃窦癌根治性远端胃大部分切除术与开腹手术的对比研究

Comparison of Laparoscopic-assisted Distal Gastrectomy and Open Gastrectomy in Treating Gastric Cancer

周永辉 1彭翔 1邓建中 1朱佳成 1廖珊1

作者信息

  • 1. 528000,广东省佛山市第一人民医院胃肠外科
  • 折叠

摘要

Abstract

Objective To compare the effectiveness and safety of laparoscopic - assisted distal gastrectomy ( LADG ) and open gastrectomy ( OG ) in treating gastric cancer. Methods Totally 90 patients were divided into two groups based on their preferred surgical modes: LADG group ( n = 51 ) and OG group ( n = 39 ). Clinical outcomes of these two groups were compared. Results The operational duration, surgical margin, and lymph nodes resected were not significantly different between these two groups ( allP> 0. 05 ) . The intra - operative blood loss and postoperative analgesic usage were significantly smaller in LADG group ( bothP < 0. 05 ) . The time to ambulate and the postoperative duration of hospital stay were significantly shorter in LADG group ( bothP<0. 05 ). The incidence of postoperative complications, postoperative follow - up, relapse rate, and tumor — related mortality rate showed no significant differences ( allP> 0. 05 ), while the postoperative survival rate was significantly higher in LADG group ( P < 0. 05 ) . Conclusion LADG can achieve the effectiveness of OG with less trauma, higher postoperative survival rate, and shorter duration of hospital stay.

关键词

胃肿瘤/腹腔镜检查/胃大部分切除术

分类

医药卫生

引用本文复制引用

周永辉,彭翔,邓建中,朱佳成,廖珊..腹腔镜辅助胃窦癌根治性远端胃大部分切除术与开腹手术的对比研究[J].中国全科医学,2011,14(2):190-192,195,4.

中国全科医学

OA北大核心CSTPCD

1007-9572

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