解放军医学院学报2017，Vol.38Issue(5)：402-405,4.DOI:10.3969/j.issn.2095-5227.2017.05.004
腹腔镜与开腹胃癌根治术幽门下淋巴结清扫的临床疗效分析
Feasibility and short term outcome of No.6 lymph nodes dissection for gastric cancer: laparoscopicvs open gastrectomy approach
摘要
Abstract
Objective To explore the feasibility and short term outcome of No.6 lymph nodes dissection for gastrectomy via laparoscopic versus laparotomic approach. Methods Three hundred and eighty patients who underwent gastrectomy in Chinese PLA General Hospital from January 2014 to December 2014 were identified. Ninety-seven of them were treated by laparoscopic resection, and the rest of thecases underwent laparotomy. The perioperative condition and follow-up data of two groups were retrospectively compared. Results No significant difference was found in age, gender, postoperative pathologic staging results, the number of dissected No.6 lymph nodes between two groups (P > 0.05). However, laparotomy was superior to laparoscopic resection in operating time[(18.72±3.62) min vs (25.85±2.26) min, P < 0.001]. Meanwhile, local recurrence was not observed during the short-term follow-up of 6-18 months.Conclusion No.6 lymph nodes dissection in laparoscopic gastrectomy is safe and feasible when operated by experienced surgeons.关键词
胃癌根治术/腹腔镜检查/淋巴结切除术Key words
radical gastrectomy/laparoscopy/lymph node excision分类
医药卫生引用本文复制引用
邹贵军,王迪,胡时栋,胡子龙,张凯,李宇轩,吴有军,王玉锋,杜晓辉..腹腔镜与开腹胃癌根治术幽门下淋巴结清扫的临床疗效分析[J].解放军医学院学报,2017,38(5):402-405,4.基金项目
国家自然科学基金项目(61471397) Supported by the National Natural Science Foundation of China (61471397) （61471397）
