[1]王　涛,张建法,吕西良,等.腹腔镜与传统开腹根治术治疗远端胃癌疗效比较[J].新乡医学院学报,2016,33(10):908-910.[doi:10.7683/xxyxyxb.2016.10.019]
　WANG Tao,ZHANG Jian-fa,LYU Xi-liang,et al.Comparison of the effect between laparoscopic surgery and traditionally open surgery on remote gastric cancer[J].Journal of Xinxiang Medical University,2016,33(10):908-910.[doi:10.7683/xxyxyxb.2016.10.019]
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腹腔镜与传统开腹根治术治疗远端胃癌疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年10
页码:
908-910
栏目:
临床研究
出版日期:
2016-10-05

文章信息/Info

Title:
Comparison of the effect between laparoscopic surgery and traditionally open surgery on remote gastric cancer
作者:
王　涛; 张建法; 吕西良; 李赛华; 张　立
（黄河三门峡医院普外科，河南　三门峡　472000）
Author(s):
WANG Tao; ZHANG Jian-fa; LYU Xi-liang; LI Sai-hua; ZHANG Li
（Department of General Surgery，Huanghe Hospital of Sanmenxia City,Sanmenxia 472000,Henan Province,China）
关键词:
腹腔镜; 传统开腹手术; 胃癌根治手术
Keywords:
laparoscopic; traditional open surgery; radical operation of gastric carcinoma
分类号:
R735.2R656.6+1
DOI:
10.7683/xxyxyxb.2016.10.019
文献标志码:
A
摘要:
目的　比较腹腔镜与传统开腹根治术治疗远端胃癌的疗效。方法　选择2011年3月至2012年12月在三门峡黄河医院接受远端胃癌根治手术患者60例，根据手术方法分为腹腔镜组和开腹组，每组30例。腹腔镜组患者给予腹腔镜下远端胃癌根治术；开腹组患者给予传统开腹手术。比较2组患者手术一般情况、术后并发症、术后生存率及术后第1、3、5、7天血清C-反应蛋白水平。结果　腹腔镜组患者住院时间、使用止痛药次数、肛门排气时间、术中出血量均少于开腹组（P<0.05）；2组患者清扫淋巴结数目比较差异无统计学意义（P>0.05）；腹腔镜组患者术后并发症总发生率（16.67%）低于开腹组（53.33%）（P<0.05）；随访1～3 a，腹腔镜组患者1 a生存率（93.3%）高于开腹组（86.7%），腹腔镜组患者3 a生存率（70.0%）高于开腹组(66.7%)，但2组患者1、3 a生存率比较差异无统计学意义（P>0.05）；2组患者术后第1、3、5天血清C-反应蛋白水平比较差异均无统计学意义（P>0.05），但是术后第7天腹腔镜组患者血清C-反应蛋白水平低于开腹组（P<0.05）。结论　腹腔镜下行胃癌根治术与传统开腹术对比，具有住院时间短、术中出血量少、术后恢复快等优点。
Abstract:
Objective　To evaluate the efficacy of laparoscopic surgery and traditionally open surgery on remote gastric cancer.Methods　Sixty patients who received radical operation of remote gastric cancer were selected in Huanghe Hospital of Sanmenxia City from March 2011 to December 2012.The patients were divided into laparoscope group and open surgery group according to therapeutic method,30 cases in each group.The patients in laparoscope group were given radical operation of remote gastric cancer with laparoscope,while the patients in open surgery group were given traditional open surgery.The generral conditions of the operation,postoperative complications,postoperative survival rate and the level of serum C-reactive protein at the 1st,3rd,5th,7th day after operation were compared between the two group.Results　The hospitalization time,the number of use of painkillers,the time of passage of gas by anus and intraoperative blood loss volume in laparoscope group were less than those in open surgery group(P<0.05).There was no significant difference in the number of excision lymph nodes（P>0.05）.The incidence rate of postoperative complications in laparoscope group（16.67%）was lower than that in open surgery group（53.33%）(P<0.05).The patients in the two groups were followed-up for 1-3 years.The one-year survival rate in the laparoscope group（93.3%） was higher than that in the open surgery group（86.7%）,the three-year survival rate in laparoscope group（70.0%） was higher than that in open surgery group（66.7%）,but there was no significant difference in one-year and three-year survival rate between the two groups(P>0.05).There was no significant difference in the level of serum C-reactive protein between the two groups at the 1st,3rd and 5th day after aperation (P>0.05).The level of serum C-reactive protein at the 7th day in laparoscope group was lower than that in open surgery group(P<0.05).Conclusion　Compared with traditional open surgery for treating remote gastric cancer，the laparoscopic surgery has the advantage of shorter hospitalization time,less blood loss volume in operation and quick postoperative recovery.

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更新日期/Last Update: 2016-10-05