摘要
目的探讨腹腔镜辅助远端胃癌根治术患者术后早期的康复情况。方法回顾性分析2010年1月至2012年12月56例腹腔镜辅助下远端胃癌根治术(腹腔镜组)与同期62例开腹远端胃癌根治术(开腹组)患者的临床资料。结果两组手术时间、淋巴结清扫数目、pTNM分期、切除长度及术后并发症发生率等比较差异无统计学意义(P>0.05)。腹腔镜组术中出血量明显少于开腹组(120±25mlVS165±42ml,P<0.05),腹腔镜组术后胃肠功能恢复时间、平均住院时间均短于开腹组,分别为(75±9hVS101±12h,P<0.05)和(8.2±2.5dVS10.5±2.9d,P<0.05)。结论腹腔镜辅助胃癌根治术技术可行,同时具备手术视野清晰、创伤小、出血少等优点,患者近期康复效果优于开腹手术。
Objective To evaluate the short-term rehabilitative outcomes of laparoscopic assisted radical distal gastrectomy for gastric cancer. Methods The clinical data of 56 cases of laparoscopic assisted radical distal gastrectomy ( LADG ) and 62 cases of open distal gastrectomy ( ODG ) for gastric cancer admitted during the period from Jan 2010 to Dec 2012 were analyzed retrospectively. Results There was no significant difference between LADG and ODG group in terms of operative time, number of lymph nodes, pathological TNM staging, and length of resection margin. Blood loss was less after LADG ( 120 ± 25 ml VS 165 ± 42 ml , P < 0.05 ). The time of postoperative flatus and postoperative hospital stay was shorter after LADG ( 75 ± 9 h VS 101 ± 12 h , and 8.2 ± 2.5 d VS 10.5 ± 2.9 d , P < 0.05 , respectively ). Conclusions Laparoscopic assisted distal gastrectomy for gastric cancer is feasible, safe, minimally invasive, and with comparable short-term rehabilitative outcomes to open surgery.
出处
《中华腔镜外科杂志（电子版）》
2013年第1期21-23,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然基金面上项目(60601018
61170123)
关键词
胃肿瘤
胃切除术
腹腔镜
术后康复
Stomach neoplasm
Gastrectomy
Laparoscopes
Postoperative rehabilitation
