三阶段全胃切除+D2淋巴结清扫在胃癌治疗中的临床研究

目的介绍一种新的三阶段法全胃切除+D2淋巴结清扫在胃癌手术中的临床效果。方法回顾性分析河南省肿瘤医院普外科2006年7月～2011年2月203例因胃癌行全胃切除+D2淋巴结清扫的胃癌患者临床病理资料,根据其手术方案不同随机分为三阶段法手术组和常规手术组。统计两组手术时间,淋巴结清扫数目,术中出血量,住院时间,并发症发生率和术后5年生存率。结果用三阶段手术组较常规手术组的手术时间和术中出血量明显减少,淋巴结清扫数目、术后并发症发生率、住院时间和5年生存率与常规手术组相当。结论应用三阶段手术进行全胃切除+D2淋巴结清扫可显著缩短手术时间、减少出血量并保证手术根治性。

Clinical Research on 3 Stages D2 Radical Operation with Total Gastrectomy for Gastric Cancer

Objective To introduce a new method of D2 radical operation with total gastrectomy for gastric cancer and study the clinic effect.Methods Clinical data on 203 patients of D2 radical operation with total gastrectomy cancer were collected retrospectively from July 2006 to February 2011 in general surgery of Hernan tumor hospital.The patients were randomly divided into two groups: 3 steps group and traditional 5 districts group.The comparation of the mean operative time,the blood loss,the number of lymph nodes dissection,the mean time of hospital stay,complication and 5 years survival rate were done.Results There were statistically significant differences in the mean operative time and the blood loss.And there was no difference in lymph nodes dissection,complications and the mean time of hospital stay between the two groups.Conclusion Three stages D2 radical operation with total gastrectomy for gastric cancer can shorten the operative time,reduce the blood loss.This method was helpful for improving the radical operation.