摘要
Abstract
Objective:To compare the curative effect,perioperative recovery and prognosis of laparoscopy-assisted distal gas-trectomy (LADG) and open distal gastrectomy (ODG) for gastric cancer and evaluate the feasibility and the security of the LADG. Methods:The study performed a retrospective study on 216 patients who underwent LADG ( n=104 ) or ODG ( n=112 ) for gastric cancer between Jan. 2011 and Dec. 2012. The clinicopathological parameters,time of the operation,operative blood loss,harvested lymph nodes,postoperative exhaust time,postoperative ambulation time,postoperative complications,hospital stay,and recurrence free survival rate for 3 years were compared. Results:No significant differences were observed in clinicopathological parameters between the two groups. The LADG group had significantly less blood loss,more harvested lymph nodes,faster postoperative exhaust time and postopera-tive ambulation time,shorter hospital stay and longer operative time (P<0. 05). The severity of complications,according to the Clavien-Dindo classification,was similar in both groups. There was no significant difference in the recurrence free survival rate for 3 years be-tween the 2 groups. Conclusions:LADG has obvious advantages in blood loss,harvested lymph nodes and postoperative recovery time compared with conventional surgery. LADG is feasible and safe for the treatment of gastric cancer.关键词
胃肿瘤/远端胃癌根治术/腹腔镜检查/剖腹术/对比研究Key words
Stomach neoplasms/Distal radical gastrectomy for gastric cancer/Laparoscopy/Laparotomy/Comparative study分类
医药卫生
