| 邬颖杰,陆囯文,章懿欣.腹腔镜在远端胃癌D2根治术中的应用价值[J].肿瘤学杂志,2013,19(4):289-291. |
| 腹腔镜在远端胃癌D2根治术中的应用价值 |
| The Value of Laparoscopic Surgery in Distal Gastrectomy with D2 Lymphadenectomy for Gastric Cancer |
| 投稿时间：2012-11-30 |
| DOI：10.11735/j.issn.1671-170X.2013.04.B2012576 |
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| 中文关键词: 腹腔镜 开腹手术 胃肿瘤 胃切除术 |
| 英文关键词:laparoscopy open surgery gastric neoplams gastrectomy |
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| 中文摘要: |
| 摘 要：［目的］ 对比腹腔镜下手术与传统开腹手术在远端胃癌D2根治术治疗中的价值。［方法］ 50例远端胃癌患者分为对照组（即单纯开腹手术组）和试验组（即腹腔镜下手术组），每组均为25例。比较两组患者的手术时间和出血量，术后患者的恢复情况（包括排气时间、进食时间、下床时间、止痛药的使用情况）、患者的住院天数、手术切口长度、清扫淋巴结数、手术并发症等。［结果］ 试验组的手术时间（218.9±35.6）min长于对照组(168.1±23.9）min，但是术中出血量（129.3±56.1）ml少于对照组（180.0±23.1）ml。试验组术后恢复情况优于对照组：排气时间为（2.2±0.8）d vs （3.3±1.2）d；进食时间为（4.2±1.3）d vs （7.1±0.9）d；下床时间为（5.6±1.1）d vs （8.3±1.4）d。试验组的住院天数少，同时伤口长度小，均有统计学意义（P<0.05）。［结论］ 腹腔镜下行远端胃癌D2根治术，临床治疗效果明显优于传统开腹手术。 |
| 英文摘要: |
| Abstract: ［Purpose］ To compare the value of laparoscopic surgery with traditional open surgery in distal gastrectomy with D2 lymphadenectomy for gastric cancer. ［Methods］ Fifty cases with distal gastric cancer were divided into control group(open surgery alone，25 cases) and experimental group(laparoscopic surgery，25 cases). Operation time，blood loss in the process of operation，patient’s recovery(including start pass wind，start ingestion，time to get out of bed，analgesic use)，hospitalization days，length of wound，number of lymph node dissection and postoperative complications in the two groups were compared. ［Results］ Hospitalization days in experimental group were longer than that in control group［(218.9±35.6）min vs (168.1±23.9）min］，and blood loss in experimental group was less than that in control group［（129.3±56.1）ml vs（180.0±23.1）ml］. Postoperative recovery in experimental group was better than that in control group，which included start pass wind［（2.2±0.8）d vs（3.3±1.2）d）］，start ingestion［( 4.2±1.3）d vs （7.1±0.9）d］，time to get out of bed［（5.6±1.1）d vs (8.3±1.4）d］. Compared with control group，hospitalization days in experimental group were shorter and length of wound was smaller(P<0.05). ［Conclusion］Clinical effect of laparoscopic distal gastrectomy with D2 lymphadenectomy is obviously better than traditional open gastrectomy. |
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