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腹腔镜辅助与开腹近端胃癌根治术的临床对比
引用本文:李艳国. 腹腔镜辅助与开腹近端胃癌根治术的临床对比[J]. 医学理论与实践, 2011, 24(13): 1501-1502,1523
作者姓名:李艳国
作者单位:湖南省汨罗市人民医院普外科,414400
摘    要:目的:从临床观察的角度探讨腹腔镜辅助近端胃癌根治术与传统开腹根治术的优劣。方法:我科于2008年10月-2010年1月将同期救治的近端胃癌需手术治疗患者随机分为腹腔镜组(36例)和开腹组(34例),对两组手术患者手术及术后情况进行对比分析。结果:腹腔镜组与开腹组平均手术时间分别为(222.6±34.4)min和(174.1±34.8)min(P<0.05);但腹腔镜组术中出血量、术后恢复情况、术后外周血T淋巴细胞及NK细胞活性显著优于开腹组(P<0.05)。腹腔镜组肿瘤根治程度、术后生存率、肿瘤复发情况与开腹组相比差异无统计学意义(P>0.05)。结论:腹腔镜辅助近端胃癌根治术是安全可行的,其微创优势明显,能够达到与开腹手术相当的根治效果。

关 键 词:腹腔镜  胃癌  根治术

Clinical Comparison of Laparoscopic Proximal Gastric Resection and Open
LI Yanguo. Clinical Comparison of Laparoscopic Proximal Gastric Resection and Open[J]. The Journal of Medical Theory and Practice, 2011, 24(13): 1501-1502,1523
Authors:LI Yanguo
Affiliation:LI Yanguo.The People's Hospital of Miluo City,Hunan Province 414400
Abstract:Objective:To investigate the clinical observation of the angle of proximal gastric cancer Laparoscopic surgery and conventional open resection of the pros and cons.Methods: The patients in our department from October 2008 to January 2010 of proximal gastric cancer surgery were randomly assigned to be the laparoscopic group(36 cases)and open group(34 cases),two groups of patients after surgery comparative analysis of the situation.Results:The average operative time of the laparoscopic group and open group,wa...
Keywords:Laparoscopy  Gastric cancer  Radical  
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