中国现代医学杂志2017，Vol.27Issue(16)：90-94,5.DOI:10.3969/j.issn.1005-8982.2017.16.020
腹腔镜和开腹手术治疗胃间质瘤
的安全性及肿瘤学疗效比较
Comparison of safety and oncological outcomes of laparoscopic and open surgery for gastric stromal tumors
冯秋生 1李怡红 2王晓娜 3岳新 3毕俊忠 1翟东良 1赵连增 1谢艳萍4
作者信息
- 1. 河北省唐山市丰南区医院外一科,河北 唐山 063300
- 2. 河北省唐山市丰南区医院超声科,河北 唐山 063300
- 3. 天津市肿瘤医院 胃部肿瘤科,天津 300060
- 4. 浙江省湖州市第一人民医院,浙江 湖州 313000
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy and safety of laparoscopic and open surgery in the treatment of gastric stromal tumors. Methods The gastric stromal tumor patients diagnosed in Fengnan District Hospital of Tangshan from January 2009 to December 2012 were taken as the research objects. According to the operation methods, the patients were divided into laparoscopy group (58 cases) and laparotomy group (47 cases). The perioperative condition, postoperative recovery and survival were compared between the two groups. Results The operation modes of the two groups were similar ( > 0.05). However, compared to the laparotomy group, the amount of intraoperative bleeding was smaller; the operation time, the time for anal exhaust recovery, the time to retake the full liquid and semi liquid diets, and hospitalization time were significantly shorter in the laparoscopy group ( <0.05); the intraoperative risk level was also superior in the laparoscopy group ( < 0.05). The postoperative recovery in the laparoscopy group was faster than that in the laparotomy group ( < 0.05). By Clavien-Dinbo rating the postoperative complications in the laparoscopic group were of stage Ⅰ and Ⅱ, while those in the laparotomy group were of stage Ⅱ and Ⅲ, the complications of the laparotomy group were more serious than those of the laparoscopy group ( < 0.05). In addition, the proportion of the patients receiving postoperative adjuvant treatment in the laparotomy group was significantly higher than that in the laparoscopic group ( < 0.05). The recurrence rate was 6.7% in the laparoscopic group which was lower than 10.6% in the laparotomy group; and the three-year disease-free survival rate was 94.5% in the laparoscopic group, which was higher than that in the laparotomy group, but there were no statistical differences between the two groups ( > 0.05). Conclusions Compared with laparotomy, laparoscopic surgery has better surgical safety and lower intraoperative risk, and is conducive to recovery. Their short-term oncological efficacy is similar. Further research should focus on the long-term efficacy of oncology.关键词
胃间质瘤/腹腔镜/开腹术/肿瘤学疗效Key words
gastric stromal tumor/laparoscopy/laparotomy/clinical oncology分类
医药卫生引用本文复制引用
冯秋生,李怡红,王晓娜,岳新,毕俊忠,翟东良,赵连增,谢艳萍..腹腔镜和开腹手术治疗胃间质瘤
的安全性及肿瘤学疗效比较[J].中国现代医学杂志,2017,27(16):90-94,5.
