腹腔镜与开腹手术对早期胃癌根治术的临床疗效(1)
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[摘要] 目的 比较腹腔镜和传统开腹胃癌根治术，分析腹腔镜胃癌根治术治疗早期胃癌的临床疗效。方法 回顾我院2005年1月～2011年12月期间的56例早期胃癌根治术患者，其中腹腔镜组32例，开腹组24例，比较两组的临床观察指标。 结果 腹腔镜术32例患者均在腹腔镜下完成胃切除和淋巴结清扫，无中转开腹病例。术中出血量分别为(152.6±184.3) mL和(261.3±211.1) mL，腹腔镜组明显低于开腹组(P < 0.05)；术后肛门平均排气时间分别为3 d和4 d，腹腔镜组明显短于开腹组(P < 0.01)。 结果 腹腔镜胃癌根治术治疗早期胃癌安全有效，具有创伤小、出血少、术后恢复快等微创优点。
[关键词] 淋巴结清扫；腹腔镜；早期胃癌
[中图分类号] R735.2 [文献标识码] B [文章编号] 1673-9701(2012)30-0040-03
The feasibility of laparoscopic radical gastrectomy and open procedure in early gastric cancer
LU Huayong
First Department of Surgery，the Third People's Hospital of Hechi City in Guangxi Zhuang Autonomous Region，Hechi 547000，China
[Abstract] Objective To evaluate the feasibility of laparoscopic radical gastrectomy in early gastric cancer through the comparison with open procedure. Methods A total of 56 patients with early gastric cancer who received radical gastrectomy from January 2005 to December 2011 were retrospectively reviewed and analyzed，where laparoscopic procedure was undergone in 32 patients and open group was in 24 patients. Results In the laparoscopic group，no case was converted to open surgery. The laparoscopic group had less blood loss and time to passage of flatus than those of open group (152.6±184.3) mL vs (261.3±211.1) mL (P < 0.05)，(3 d vs 4 d) (P < 0.01). Conclusion Laparoscopic radical gastrectomy for early gastric cancer is feasible and safe，benefit of minimally invasiveness， less blood loss and quicker postoperative recovery.
[Key words] Lymphadenectomy；Laparoscopy； Early gastric cancer
近年来，随着内窥镜技术在我国广泛应用，早期胃癌的诊断率已经明显提高，早期胃癌的五年生存率高达95%～97%，胃癌的术后复发率明显下降，长期生存率明显提高。腹腔镜手术具有创伤小、恢复快、对机体免疫系统抑制小的优点，腹腔镜胃癌根治术是目前广大胃肠医师关注的手术方法。但在国内对腹腔镜胃癌手术的临床研究比较缺乏，此方法在我国的开展亦缺乏切实有价值的客观依据。因此，对腹腔镜胃癌手术的安全可行性进行评价，为该手术的进一步实践提供可靠依据。本研究通过回顾我院2005年1月～2011年12月期间的56例早期胃癌根治术，比较腹腔镜和传统开腹胃癌根治术 ......
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