中国普通外科杂志2013，Vol.22Issue(4)：401-408,8.DOI:10.7659/j.issn.1005-6947.2013.04.004
腹腔镜与开腹D2远端胃切除术治疗胃癌的Meta分析
Laparoscopy-assisted versus open distal gastrectomy with D2 lymphadenectomy for gastric cancer: a Meta-analysis
丁杰 1廖国庆 1晏仲舒 1张忠民 1潘扬1
作者信息
摘要
Abstract
Objective: To assess the value of laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy for gastric cancer. Methods: Publicly published studies in both Chinese and English concerning laparoscopy-assisted D2 gastrectomy versus open D2 gastrectomy were collected, and then, data that included operative time, blood loss, number of dissected lymph nodes, time to first flatus and food intake, length of hospital stay, incidence of complications, mortality and recurrence between two groups of patients undergoing laparoscopy-assisted D2 gastrectomy and open D2 gastrectomy were compared by Meta-analysis. Results: Eight studies (l 065 patients) meeting inclusion criteria were finally selected. Compared with open surgery group, the intraoperative blood loss and incidence of complications were reduced, time to first flatus and food intake, and length of hospital stay were shortened, but operative time was prolonged (all P<0.05). There were no significant differences in the number of dissected lymph nodes, mortality, and recurrence rate between the two groups (allP>0.05).
Conclusion: Laparoscopy-assisted D2 gastrectomy has the advantages of minimal invasion, faster recovery and fewer complications, and can achieve the same results and short-term efficacy as open radical operation.关键词
胃肿瘤/胃切除术/淋巴结切除术/腹腔镜/Meta分析Key words
Stomach Neoplasms/ Gastrectomy/ Lymph Node Excision/ Laparoscopes/ Meta-Analysis分类
医药卫生引用本文复制引用
丁杰,廖国庆,晏仲舒,张忠民,潘扬..腹腔镜与开腹D2远端胃切除术治疗胃癌的Meta分析[J].中国普通外科杂志,2013,22(4):401-408,8.
