摘要
目的分析进展期胃癌腹腔镜D2根治术的效果。方法将70例进展期胃癌患者随机分观察组和对照组,各35例。观察组给予腹腔镜下D2根治术治疗,对照组给予开腹D2根治术治疗。观察两组的临床效果。结果观察组的手术时间、出血量、胃肠功能恢复时间及住院时间均明显少于对照组,两组比较差异无统计学意义(P>0.05)。而两组的淋巴结清扫数比较,差异无统计学意义(P>0.05)。观察组出现胸腔积液1例(2.86%),未出现死亡病例。对照组出现并发症7例(20.00%),无死亡病例,两组的并发症发生率比较,差异有统计学意义(P<0.05)。结论进展期胃癌腹腔镜D2根治术手术住院时间短,术中出血量少,术后并发症少,临床效果显著。
Objective To investigate the clinical value of laparoscopy -assisted the distal gastric D2 radical surgery for advanced gas-tric cancer.Methods The clinico-pathologic features of 70 patients with advanced gastric cancer received laparoscopy （n=35） and open sur-gery （n=35） respectively from Sepetember 2009 to March 2011.Results （1） There were no significant difference between the two groups in sex, age, cancer place ,cancer type（P〉0.05）.（2）The mean operation time, blood lose, ground activity time,hospital of control group were definitely shorter than matched group （P〈0.05）;（3）A list of pleural effusion in control group ,four lists of pleural effusion, three lists of inci-sion fat liquefaction,there were significant difference between the two groups （P〈0.05）.Conclusion The method of laparoscopy -assisted the distal gastric D2 radical surgery for advanced gastric cancer had radical effect , it has the advantage of shorter time of hospital stay , less bleeding , safety and reliability .
出处
《河南外科学杂志》
2014年第6期12-14,共3页
Henan Journal of Surgery
关键词
腹腔镜手术
开腹手术
胃癌进展期
Laparoscopy surgery
D2 Radical surgery
Advanced gastric cancer
