• 主题
高级搜索  >
历史搜索 清空历史
首页> 中文期刊> 《中国内镜杂志》 >腹腔镜辅助下胃癌根治术与开腹胃癌根治术疗效的对比研究

腹腔镜辅助下胃癌根治术与开腹胃癌根治术疗效的对比研究

         
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

目的 对比研究腹腔镜辅助下胃癌根治术(LRG)与开腹胃癌根治术(ORG)的疗效.方法 回顾2005年3月～2010年12月进行的85例LRG与同期ORG85例,比较LRG与ORG在手术中、手术后恢复、术后生存率等方面的差异.结果 LRG组和ORG组手术时间分别(275.5±57.3)和(221.9±39.2)min,差异有显著性(P＜0.05)；术中出血量LRG组和ORG组分别为(179.76±56.23)和(204.12±86.53)mL,差异有显著性(P ＜0.05)；LRG组淋巴结清扫数目(24.3±9.9)枚,ORG组清扫淋巴结数目(22.3±9.1)枚,差异无显著性(P＞0.05);术后恢复情况LRG组和ORG组术后进食时间分别为(3.7±1.6)和(5.1±1.5)d,差异有显著性(P＜0.05);LRG组和ORG组止痛剂使用分别为(1.2±1.1)和(2.9±1.8)次,差异有显著性(P＜0.05)；术后最高体温LRG组与ORG组中分别是(38.1±0.5)和(38.5±0.5)℃,差异有显著性(P＜0.05).术后LRG组中与ORG组中术后并发症发生率分别8.2％和9.4％,差异无显著性(P＞0.05)；术后LRG组随访6年,LRG组随访存活49例,1、3及5年生存率为89.3％、76.1％和62.1％；ORG组随访存活50例,1、3及5年生存率为90.2％、75.4％和56.6％.两组生存率比较,差异无显著性(P＞0.05).结论 LRG是安全可行的,且能达到开腹手术的淋巴结清扫的效果,且具有创伤小、出血少、恢复快、并发症发生率低等优点.%[ Objective ] To compare the effect difference of laparoscopic-assisted radical gastrectomy(LRG)and open radical gastrectomy (ORG). [Methods] The clinical data of 85 cases received LRG from March 2005 to December 2010 and 85 cases received ORG at the same period in our center were compared. The differences of intra-operation, postoperation and the postoperative survival rate were primarily observed. [Results] 85 cases had LRG successfully. Intraoperative time for LRG, ORG was (275.5±57.3)min and (221.9±39.2)min, the results have statisti-cal difference (P ＜0.05). Intraoperative blood toss for LRG and ORG was (79.76±56.23) ml and(204.12±86.53) ml, the results have statistical difference (P ＜0.05).The total number of lymph nodes dissected for LRG was (24.3±9.9) in each patient and (22.3±9.1) for ORG, there was no statistical difference (P ＞0.05).(3.7±1.6)days for taking liquid food after operation in LRG and (5.1 ±1.5) days in ORG, there had statistical significance (P＜0.05), Postoperative administration of anodyne in the LRG and ORG was (1.2±l.l)times and (2.9±1.8 )times, there was significant difference between the 2 groups (P ＜0.05). Postoperative maximum body temperature in the LRG and ORG was (38.1± 0.5)℃ and (38.5±O.5)℃, there was statistical difference (P ＜0.05). Postoperative incidence of complication in the LRG and ORG was 8.2% and 9.4% with no statistical difference (P ＞0.05). Postoperative follow up was 6 year. In the LRG was survival 49 case, l,3,5year survival rate was 89.3%,76.1%and 62.1%. In ORG was survival 50 cases, 1,3,5 year survival rate was 90.2%,75.4%and 56.6%. There was no statistical difference (P ＞0.05). [Conclusion] LRG is safe and feasible , and it can achieve the effect of lymph node dissection compared with ORG, and with less trauma, less bleeding, rapid recovery and low complication rate.

著录项

  • 来源
    《中国内镜杂志》 |2012年第10期|1018-1022|共5页
  • 作者

    黄飞; 陈永军; 韦杨年; 卢榜裕; 蔡小勇; 陆文奇; 黄玉斌; 靳小建; 晏益核; 雷宇;

  • 作者单位

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西中医学院附属瑞康医院卫生部肝胆肠外科研究中心广西基地,广西南宁530011;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

    广西医科大学第一附属医院微创外科中心,广西南宁530007;

  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 胃肿瘤;
  • 关键词

    胃癌; 进展期胃癌; 腹腔镜; 胃癌根治术;

相似文献

  • 中文文献
  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号