| 贺赛奇，谭曙光.腹腔镜胃癌根治术与开腹胃癌根治术的临床分析.[J].中南医学科学杂志.,2015,43(2):175-178. |
| 腹腔镜胃癌根治术与开腹胃癌根治术的临床分析 |
| Clinical Analysis of Laparoscopic Gastrectomy and Open Gastrectomy for Gastric Cancer |
| 投稿时间：2014-07-20 |
| DOI： |
| 中文关键词: 腹腔镜 胃癌D2根治 临床研究 |
| 英文关键词:laparoscopic D2 gastric cancer prostatectomy clinical research |
| 基金项目: |
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| 摘要点击次数: 925 |
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| 中文摘要: |
| 目的 通过比较腹腔镜下胃癌第二站淋巴结全部清除（D2根治术）与开腹胃癌D2根治手术的差异，探讨腹腔镜下胃癌D2根治术的可行性。 方法 分析本院202例胃癌D2根治手术患者的病例资料，其中腹腔镜下胃癌D2根治术（腹腔镜组）102例，开腹下胃癌D2根治术（开腹组）100例，比较两组患者的围术期的各项临床指标，进行统计学分析。 结果 腹腔镜下胃癌D2根治手术，无中转开腹病例，两组在年龄、性别、TNM分期、肿瘤直径、手术方式方面无统计差异。腹腔镜组手术切口长度，术中出血量，术后胃肠排气时间，术后开始进食时间，术后并发症发生率，术后住院时间较开腹组明显减少（P＜0.05），两组手术时间，切口与肿瘤的距离，淋巴结清扫数目以及近期结果无明显差异（P＞0.05）。 结论 腹腔镜胃癌D2根治术与开腹胃癌D2根治手术相比创伤小，术后恢复快，手术安全，手术疗效确切，近期结果相同，值得临床推广。 |
| 英文摘要: |
| Objective The aim of the study was to compare the operative outcomes and adequacy between resection of laparoscopic D2 gastrectomy and open D2 gastrectomy for gastric. Methods 202 with cancer underwent D2 radical between January 2010 and December 2013 includes 102 patients underwent laparoscopic surgery（laparoscopy group）and 100 patients underwent traditional surgery（laparotomy group）.The intraoperative and postoperative condition between the two groups were compared. Results Two groups in age,sex,TNM stage,tumor diameter,the operation way were not statistically different.Laparoscopy group compared with laparotomy group decreased significantly （P<0.05） in incision length,intraoperative blood loss,postoperative hospital stay,postoperative gastrointestinal exhaust time,postoperative start eating time,postoperative complications.Incision and distance of the tumor,the number of lymph node cleaning and recent results have no obvious statistical difference in two groups. Conclusion Laparoscopic D2 gastric cancer radical prostatectomy has small trauma compared with the traditional D2 gastric cancer radical surgery,and postoperative recovery is fast.The safety of surgery,surgical curative effect,the recent result is the same with the traditional D2 gastric cancer radical surgery,which can be clinically spread. |
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