摘要
目的评估腹腔镜辅助远端胃癌根治术的安全性和长期生存情况。方法行远端胃癌根治术患者360例，其中160例行腹腔镜手术（腹腔镜组），200例行开腹手术（开腹组），比较两组患者手术安全性、术后并发症和生存率。结果腹腔镜组手术出血量和术后住院时间分别为（42．5±15．3）ml和（9．5±2．6）天，均少于开腹组，差异有统计学意义（P〈0．05）。两组手术时间、淋巴结清扫数目和术后并发症比较，差异均无统计学意义（P〉0．05）。两组患者随访时间6～60个月，平均32个月，腹腔镜组与开腹组1、3、5年总体生存率分别为95．3％、82．7％、60．3％和95．4％、79．2％、60．3％，两组比较，差异无统计学意义（P〉0．05）。结论腹腔镜辅助远端胃癌根治术安全可行，有创伤小，恢复快，并发症少。腹腔镜组在术后生存率与开腹手术组相当。
Objective To evaluate the safety and overall survival of laparoscopie-assisted surgery for gastric cancer. Methods We retrospectively analyzed the clinical data of 360 patients and assigned in laparoscopic group（ laparoseopy assisted gastreetomy, LAG group, n = 160） and open gastrectomy （ open group, OG group, n = 200 ） according the surgical approach. The surgical safety, postoperative complications and survival rate were analyzed in two groups. Results Blood loss, hosptial stay in LAG group was （42.5 ± 15.3 ） ml and （9.5 ± 2.6） d, which were significant difference with OG group （ P 〈 0.05 ）. There was no significant difference in the mean peration time, number of lymph nodes dissected and postoperative complications between the two groups（ P 〉 0.05 ）. During the follow-up period of 6-60 months（ average 32 months） ,the 1-, 3-and 5-year survival rates were, respectively, 95. 3%, 82.7% ,60.3% 和 95.4%, 79.2% ,60.3 %, in LAG and OG group, the difference was not significant （ P 〉 0.05 ）. Condusion Laparoscopy-assisted gastrectomy can be a safe, feasible procedure,which achieves the same postoperative survival rate, and leads to less traumatic, recovery quickly and fewer complications.
作者
殷涛
熊治国
崔殿生
武继舫
YIN Tao XIONG Zhiguo CUI Diansheng et al.(Department of Gastrointestinal Surgery,Hubei Provincial Cancer Hospital, Wuhan 430070, Chin)
出处
《临床外科杂志》
2016年第12期943-945,共3页
Journal of Clinical Surgery
关键词
胃癌
腹腔镜
生存分析
gastric cancer
laparoscopic
survival analysis
