中国全科医学2013，Vol.16Issue(2)：210-212,215,4.DOI:10.3969/j.issn.1007-9572.2013.01.067
腹腔镜与开腹手术行胃癌根治术效果的临床对照研究
Comparative Study of Laparoscopic and Open Radical Surgery in Gastric Carcinoma
摘要
Abstract
Objective To investigate the effect and safety of laparoscopic and open radical surgery in patients with gastric carcinoma by retrospective study. Methods Clinical data of 101 patients with gastric carcinoma underwent radical surgery in our hospital from January 2009 to June 2010 were retrospectively analyzed. Among the patients, 51 cases were given laparoscopic surgery ( laparoscopic group ) and 50 cases were given open surgery ( open surgery group ). The length of incision, operation time, blood loss, lymph node dissection number, defecating time after operation, hospital stay after operation and complications during perioperative period were observed. The patients were followed up one time a month until December 31 , 2010. The loss of following up, relapse, metastasis and death were recorded. Results The length of incision, operation time, blood loss, defecating time and hospital stay after operation between laparoscopic group and open surgery group showed statistically significant differences ( P < 0. 05 ). While the difference of lymph node dissection number between the two groups was not statistically significant ( P > 0. 05 ). No complication was found in the open surgery group after surgery, while 2 cases had complication in laparo- scopic gioup, with one case naving of dysfunction of residual stomach and one case having abdonominal infection. The average follow— ing up time of the laparoscopic group was ( 14. 3 ±9. 0 ) months, with 3 cases being lost and loss rate of 6% ; the average following up time of the open surgery group was ( 15.8 + 10. 3 ) months, with 6 cases being lost and loss rate of 12% . The following up time and loss rate between the two groups showed no statistically significant differences ( P>0. 05 ). The relapse rate, metastasis rate and mortality rate of laparoscopic group were 4% ( 2/48), 4% ( 2/48 ) and 6% ( 3/48 ), and they were 4% (2/44 ), 4% ( 2/44 ) and 9% ( 4/44 ) for the open surgery group. The difference between the two groups was not statistically significant ( P > 0. 05 ). Conclusion Compared with open radical surgery, laparoscopic surgery has advantages like fewer traumas, less blood loss and rapid recovery, etc, and there is no significant difference on radical degree between the two groups. Besides, the recurrence, metastasis and mortality showed no increase compared with open surgery, so it is worth promoting in clinic.关键词
胃肿瘤/腹腔镜检查/胃癌根治术Key words
Stomach neoplasms/Laparoscopy/Radical gastrectomy分类
医药卫生引用本文复制引用
赵群,李勇,王贵英,焦志凯,赵雪峰,张志栋,檀碧波,周超熙,孙文亮..腹腔镜与开腹手术行胃癌根治术效果的临床对照研究[J].中国全科医学,2013,16(2):210-212,215,4.基金项目
河北省普通高校强势特色学科资助项目(冀教高[2005]52) （冀教高[2005]52）
