四川医学Issue(9)：1287-1289,1290,4.DOI:10.16252/j.cnki.issn1004-0501-2015.09.022
腹腔镜辅助与开腹远端胃癌D2根治术对比分析
Clinical Comparative Analysis of Laparoscopy-assisted and Open Radical Gastrectomy for Distal Gastric Cancer
芦灵军 1黄君 1易先武 1陈伟平 1王伟 1樊建新 1徐其银1
作者信息
- 1. 宜宾市第一人民医院普外科，四川 宜宾644000
- 折叠
摘要
Abstract
Objective To evaluate the safety, feasibility and efficacy of laparoscopy-assisted gastrectomy with D2 lymph node dissection for distal gastric cancer. Methods Clinical date of 54 patients with distal gastric cancer undergoing gastrectomy with D2 lymph node dissection from September 2009 to July 2012 were retrospectively analyzed. Among the patients, 26 cases underwent laparoscopy-assisted gastrectomy( laparoscopic group) and 28 cases open distal gastrectomy ( open surgery group) in the same period. The operation time, intraoperative blood loss, number of lymph nodes dissection, postoperative complication, length of postoperative hospital stay and survival rate were analyzed. Results The operation time of the laparoscopic group was longer than that of the open surgery group (P<0. 05). The intraoperative blood loss and length of postoperative hospital stay of the laparoscopic group less than that of the open surgery group ( P<0. 05 ) . There were no statistically significant differences in number of lymph nodes dissection and postoperative complication. The medium follow up period were 29 months. The overall 1, 2, 3-year survival rates of laparoscopic group was 92. 2%、78. 3% and 46. 2%, respectively. The survival rates of open surgery group were 88. 3%、75. 7% and 48. 3%. The difference were no statistically significant (P>0. 05). Conclusion Laparoscopy-assisted gastrectomy with D2 lymph node dissec-tion is safe and feasible for distal gastric cancer and its medium-term outcome consistent with open surgery.关键词
胃肿瘤/腹腔镜/远端胃癌根治术/开腹手术Key words
stomach neoplasms/laparoscopy/radical distal gastrectomy/open surgery分类
医药卫生引用本文复制引用
芦灵军,黄君,易先武,陈伟平,王伟,樊建新,徐其银..腹腔镜辅助与开腹远端胃癌D2根治术对比分析[J].四川医学,2015,(9):1287-1289,1290,4.
