112例腹腔镜辅助胃癌手术与同期胃癌开放手术对比研究

目的探讨腹腔镜辅助胃癌手术的疗效与可行性。方法搜集231例胃癌手术病人,随机分为A、B两组,其中A组119例胃癌病人行常规开放胃癌根治术,B组112例胃癌病人行腹腔镜辅助胃癌根治术,对比两组病人在手术时间、术中出血量、淋巴清扫个数,切缘距肿瘤的距离、消化道重建方式、术后肛门排气时间、术后下床活动时间、术后止痛药使用率、出院时间和术后并发症例数的差异。结果 B组病人在术后恢复及疗效比A组好,在术中出血、淋巴清扫个数、切缘距肿瘤的距离、消化道重建方式、术后并发症例数与A组差异无显著性(P>0.05)。结论腹腔镜辅助胃癌根治术疗效比开放手术好,手术是安全可行的。

The comparison of the outcomes between radical gastrectomy guided by laparoscope (112cases) and concurrent open gastrectomy

Objective To assay the therapeutic results and feasibility of gastrectomy guided by laparoscope.Methods 231 patients undergone gastrectomy were randomly divided into groups A(n=119) and B(n=112).Group A received traditional open radical gastrectomy and group B received radical gastrectomy guided by laparoscope.To compare the differences of the operation time,operative bleeding,number of lymph node dissection,distance of dissected ridge to neoplasm,types of digestive tract reconstruction,post-surgical anal exsufflation time,post-surgical off-bed activity time,pain medication usage after operation,off-hospital time and cases with post-surgical complication between group A and group B.Results Patients in group B had better post-surgical recovery and therapeutic efficacy than group A.In operative bleeding,number of lymph node dissection,distance of dissected ridge to neoplasm,types of digestive tract reconstruction,and cases with post-surgical complication,group B did not differ from group A significantly(P>0.05).Conclusion The outcomes of radical gastrectomy guided by laparoscope is superior to open radical gastrectomy,and is also feasible and safe.