两种胃癌根治术治疗早期胃癌的临床疗效比较

目的比较腹腔镜与传统开腹胃癌根治术治疗早期胃癌的临床疗效。方法回顾性分析2006年2月—2011年2月接受手术治疗的112例早期胃癌患者的临床资料,包括腹腔镜胃癌根治术(腹腔镜组)55例和开腹胃癌根治术(开腹组)57例。比较两组手术时间、术中出血量、肿瘤切缘、术后肛门排气时间、术后进食流质时间、术后住院天数、术后并发症、病理结果及随访等。结果腹腔镜组手术时间(196.5±48.9)min,术中出血量(142.3±142.7)mL,肛门排气时间(2.8±1.1)d,术后进食流质时间(5.1±1.8)d,术后住院天数(10.3±1.1)d,均显著低于开腹组[分别为(216.8±47.1)min,(246.0±148.4)mL,(4.5±1.5)d,(7.2±3.4)d,(13.2±3.6)d](均P<0.05)。腹腔镜组肿瘤上下切缘[(4.1±1.6),(3.5±1.5)cm],术中清扫淋巴结数[(13.2±6.9)枚],术后并发症发生率(9.1%)与开腹组[(4.0±1.8,3.6±1.7)cm,(14.3±7.7)枚,10.5%]比较差异均无统计学意义(均P>0.05)。术后腹腔镜组中位随访24(2～66)个...

Comparison of clinical efficacy of two types of radical gastrectomy for treatment of early gastric cancer

Objective To compare the clinical efficacy of laparoscopy-assisted gastrectomy and conventional open gastrectomy in treatment of early gastric cancer(EGC).Methods The clinical data of 112 EGC patients undergoing surgical treatment at our department from February 2006 to February 2011 were retrospectively analyzed.Of the patients,55 cases underwent laparoscopy-assisted gastrectomy(laparoscopy group) and 57 cases underwent open gastrectomy(open surgery group).The operative time,blood loss,tumor resection marg...