实用临床医药杂志Issue(5)：41-44,4.DOI:10.7619/jcmp.201405013
腹腔镜辅助与开放性胃癌 D2根治性全胃切除术临床分析
Analysis in clinical efficacy of laparoscopy-assisted open D2 radical total gastrectomy
赵伟 1陈平 1石磊1
作者信息
- 1. 江苏省苏北人民医院 胃肠外科，江苏 扬州，225001
- 折叠
摘要
Abstract
Objective To explore the feasibility,safety and efficacy of laparoscopy-assisted radical total gastrectomy(LATG).Methods Clinical materials of LATG patients and open total gas-trectomy (OTG)patients were analyzed retrospectively.Feasibility,safety and short-term outcomes were compared between two groups.Results 274 patients were collected,and there were 109 cases in the LATG group and 165 cases in the OTG group.Operation time in the TLTG group [(187.9 ± 37.6)minutes]was significantly longer than that in the OTG group (P <0.001 ),while the intra-operative blood losswassignificantlylowerthan the LATGgroup [(1 66 .5 ±5 9 .3 )mL:(3 09 .4 ± 93.1)mL](P <0.001).First flatus time (P <0.001),first diet time (P <0.001),post operative hospital stay (P <0.001),white blood cells counting (P <0.05),and drainage (P <0.05)in the LATG group were significantly lower than those in the OTG group.Conclusion LATG is a safe and feasible procedure for the treatment of gastric cancer,and it has advantages such as high security, small trauma and quick post-operative recovery.关键词
胃肿瘤/腹腔镜/胃切除术Key words
stomach neoplasms/laparoscopy/gastrectomy分类
医药卫生引用本文复制引用
赵伟,陈平,石磊..腹腔镜辅助与开放性胃癌 D2根治性全胃切除术临床分析[J].实用临床医药杂志,2014,(5):41-44,4.
