腹腔镜胃癌D2根治术的疗效与安全性分析

目的探讨腹腔镜胃癌D2根治术的疗效与安全性。方法选取本院2010年6月～2013年12月期间收治的140例胃癌患者，将其随机平均分为实验组70例和对照组70例，实验组患者进行腹腔镜D2根治术，对照组患者进行传统开腹D2根治术，对比分析两组患者术中出血量、手术时间、切口长度、住院时间等手术情况情况，淋巴结清扫个数、肿瘤切缘长度以及术后并发症发生率等情况。结果实验组患者的手术切口长度、出血量、住院时间、并发症发生率均明显低于对照组，差异具有统计学意义（P〈0．05），两组患者手术时间、淋巴结清扫个数、近切缘长度和远切缘长度比较差异无统计学意义（P〉0．05）。结论腹腔镜胃癌D2根治术创伤小，出血少，术后恢复快，并发症少，与传统开腹手术相比具有更好的治疗效果且具有较高的安全性，值得临床推广。

An analysis of the curative effect and safety of laparoscopic radical D2 gastrectomy for gastric cancer

Objective To explore the curative effect and safety of laparoscopic radical D2 gastrectomy for gastric cancer. Methods 140 patients with gastric cancer who were admitted to our hospital from June 2010 to December 2013 were selected and randomly assigned to an experimental group and a control group,with 70 patients in each group. The experimental group received laparoscopic radical D2 gastrectomy,while the control group received conventional radical D2 laparotomy.Surgical indices including amount of bleeding during surgery,surgery time,incision length and length of stays,number of dissected lymph nodes,lengths of resection margins,and incidence of postoperative complications were compared and analyzed between the two groups. Results The incision length, amount of bleeding,length of stays and incidence of complications in the experimental group were all significantly lower than those in the control group,and the differences were statistically significant（P 〈 0.05）.Differences of the surgery time,number of dissected lymph nodes, and lengths of proximal and distal resection margins between the two groups were not statistically significant （P 〉 0.05）. Conclusion Laparoscopic radical D2 gastrectomy for gastric cancer has less trauma,less bleeding, faster recovery and less complications.It has a better curative effect and a higher safety than a conventional laparotomy,which is worthy of clinical promotion.