腹腔镜辅助下近端胃癌D2根治术的近期疗效分析

龙源期刊网 https://www.wendangku.net/doc/da8416530.html,

腹腔镜辅助下近端胃癌D2根治术的近期疗效分析

作者：延学军

来源：《中国现代医生》2015年第21期

[摘要] 目的探讨腹腔镜辅助下近端进展期胃癌D2根治术的近期疗效。方法回顾性分析我院2014年1月～2015年3月间行手术治疗的66例进展期近端胃癌患者的临床资料，根据手术方式的不同分为观察组和对照组，观察组（36例）采用腹腔镜辅助下胃癌根治术，对照组（30例）采用经腹近端胃癌根治术，对两组患者手术相关指标及术后并发症等进行比较。结果两组患者手术时间、术中出血量、进流食时间、下床活动时间、切口长度、清扫淋巴结数

及住院天数进行比较，除清扫淋巴结数目外，差异均有统计学意义（P

[关键词] 进展期胃癌；腹腔镜辅助手术；并发症

[中图分类号] R735.2 [文献标识码] B [文章编号] 1673-9701（2015）21-0036-03

[Abstract] Objective To explore the curative effect for advanced gastric cancer of laparoscopic-assisted surgery. Methods All 66 patients with advanced gastric cancer were retrospectively analyzed from January 2014 to March 2015 as the research object.According to the different methods of operation， they were divided into observation group and control group， the observation group （36 cases） had cure by laparoscopic-assisted surgery， the control group （30 cases） were by radical open surgery. Related indicators of two groups were compared. Results Operation time，intraoperative blood loss， time of the liquid diets， ambulation time， incision length， cleaning the number of lymph nodes， and hospitalization days of two groups were compared， in addition to cleaning the number of lymph nodes， the difference was statistically significant （P

[Key words] Advanced gastric cancer； Laparoscopic-assisted surgery； Complications

胃癌在我国恶性肿瘤中发病率居首位，绝大多数患者就诊时已成为进展期胃癌，而进展期胃癌手术后5年生存率不足50%。如何有效地提高进展期胃癌的生存率成为外科医生普遍关注的焦点[1，2]。长期以来，腹腔镜胃癌根治术治疗进展期胃癌的疗效一直存在着争议。随着技术的进步，该技术的优势逐步得到认可[3，4]。本研究选取我院收治的近端胃癌患者作为研究对象，对腹腔镜辅助下胃癌根治术的安全性及疗效进行探讨，现报道如下。

1 资料与方法

1.1 临床资料