腹腔镜外科杂志2018，Vol.23Issue(5)：340-343,4.DOI:10.13499/j.cnki.fqjwkzz.2018.05.340
腹腔镜全胃切除术与近端胃切除术治疗近端胃癌的临床研究
Clinical efficacy of laparoscopic total gastrectomy and proximal gastrectomy for proximal gastric cancer
陈亮 1汪彪 1张征 1梁俊 1黄建朋 2何志军 1徐夏 1汪启斌 1董荣坤 1张健 1王佩 1甘云辉1
作者信息
- 1. 湖北医药学院附属人民医院,湖北 十堰,442000
- 2. 中山大学附属第七医院
- 折叠
摘要
Abstract
Objective:To compare the clinical effect of laparoscopic total gastrectomy and proximal gastrectomy for proximal gastric cancer.Methods:Clinical data of fifty－seven patients with proximal gastric cancer were retrospectively analyzed ,26 patients un－derwent laparoscopic proximal radical gastrectomy (proximal group) and other 31 underwent total gastrectomy (total group).The visual analogue scale (VAS),self－rating anxiety scale (SAS) and self－rating depression scale (SDS) were used on the day of admission and after surgery for the two groups to evaluate pain and negative emotions ,and follow－up was performed after the discharge.Results:There was no significant difference in VAS ,SAS and SDS scores between two groups before operation (P＜0.05).Postoperative VAS scores and the incidence of complications such as anemia and weight loss of proximal group were significantly lower than those of the total group (P＜0.05),while the level of anxiety and depression ,incidence of postoperative reflux were significantly higher than those of the total group (P＜0.05).Significant differences were also found in the recurrence－free survival time [(23.5±3.3) months vs.(33.0±2. 1) months] and the tumor progression rate (30.8%vs 6.5%) between the two groups respectively.Conclusions: Laparoscopic proxi－mal gastrectomy can reduce the incidence of complications such as anemia and weight loss .However,the incidence of reflux is higher than that of total resection w,hich affects anxiety and depression.The surgical methods should be selected according to the patient＇s con－dition and individual choice.关键词
胃肿瘤/全胃切除术/近端胃切除术/腹腔镜检查Key words
Stomach neoplasms/Total gastrectomy/Proximal gastrectomy/Laparoscopy分类
医药卫生引用本文复制引用
陈亮,汪彪,张征,梁俊,黄建朋,何志军,徐夏,汪启斌,董荣坤,张健,王佩,甘云辉..腹腔镜全胃切除术与近端胃切除术治疗近端胃癌的临床研究[J].腹腔镜外科杂志,2018,23(5):340-343,4.
