摘要
目的探讨腹腔镜探查在进展期胃癌术前分期的准确率及其在手术治疗中的临床应用价值。方法回顾性分析2014年1月-2017年4月经该院病理科证实的进展期胃癌患者85例临床资料。其中40例进行腹腔镜探查,45例进行传统手术探查,比较2种不同方法对进展期胃癌术前TNM分期的准确率、胃癌转移及预后情况。结果对进展期胃癌T分期准确率腹腔镜探查高于传统手术探查(P<0.05);对进展期胃癌N分期准确率腹腔镜探查高于传统手术探查(P<0.05)。腹腔镜探查对进展期胃癌腹膜转移和隐性腹腔转移发现率高于传统开腹探查(P<0.05);腹腔镜探查组预后好于传统方法组(P<0.05)。结论腹腔镜探查有助于术前精准分期,能够避免一些不必要的开-关腹手术,对进展期胃癌患者的治疗方案具有指导意义,有助于提高预后效果。
Objective To study the accuracy of laparoscopy in preoperative staging of advanced gastric cancer and its clinical value.Methods A retrospective analysis of 85 cases with advanced gastric cancer in our hospital from March 2014 to March 2017 was carried out.Forty of them received laparoscopic surgery(laparoscopic surgery group)while the rest had traditional surgical treatment(traditional surgery group),and the accuracy of preoperative TNM staging,metastasis and prognosis of advanced gastric cancer were compared between these two groups.Results The accuracy rates of T staging,N staging for advanced gastric cancer of laparoscopic surgery group were significantly higher than those of the traditional surgery group(P<0.05);the detection rates of peritoneal metastasis and recessive peritoneal metastasis of laparoscopic surgery group were significantly higher than those of the traditional surgery group(P<0.05);the efficacy of laparoscopic surgery group was significantly higher than that of the traditional surgery group(80.0%vs 57.8%)(P<0.05).Conclusion Laparoscopy is helpful for accurate preoperative staging and avoiding unnecessary open-abdominal surgery.It is of guiding significance for the treatment of advanced gastric cancer and has a good effect in the prognosis.
作者
梅天明
魏俊
肖迎利
柳长青
Tian-ming Mei;Jun Wei;Ying-li Xiao;Chang-qing Liu(Department of tumor surgery;Suzhou Municiple Hospital,Suzhou,Anhui 234000,China)
出处
《中国现代医学杂志》
CAS
2018年第21期120-123,共4页
China Journal of Modern Medicine
关键词
进展期胃癌
腹腔镜
术前分期
advanced gastric cancer
laparoscope
preoperative staging
