Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases
Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases
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DOI：
10.1007/s00464-008-9786-2
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发表时间：
2008-05-01
影响因子：
3.1
通讯作者：
Osugi, H.
中科院分区：
文献类型：
--
作者：
Tanimura, S.;Higashino, M.;Osugi, H.
背景近年来，由于手术技术的进步，腹腔镜胃癌切除术已成为一种微创手术。作者于1998年3月至2006年8月对612例胃恶性肿瘤行腹腔镜胃切除术并区域淋巴结清扫术。本文介绍了腹腔镜胃癌切除术的技术和效果。方法612例胃恶性肿瘤中，行远端胃切除术485例，近端胃切除术42例，全胃切除术85例。所有病例均按照日本胃癌协会的一般规则行D1或D2淋巴结清扫。结果腹腔镜胃切除术患者恢复快于开腹手术。术后并发症在允许范围内。术前诊断为手术T2N1及以下的晚期病例，腹腔镜组与开放组术后生存曲线差异无统计学意义。结论腹腔镜下胃切除术与开放式胃切除术相比，不仅创伤小，而且安全、疗效好。
Background Among the less invasive operations noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular because of advances in surgical techniques. The authors performed laparoscopic gastrectomy with regional lymph node dissection for 612 cases of gastric malignancies between March 1998 and August 2006. The technique and results of laparoscopic gastrectomy for gastric cancer are presented.Methods Of the 612 gastric malignancy cases, distal gastrectomy was performed in 485 cases, proximal gastrectomy in 42 cases, and total gastrectomy in 85 cases. In all the cases, D1 or D2 lymph node dissection was performed according to the general rule of the Japanese Gastric Cancer Association.Results Quicker recovery was observed in the laparoscopic gastrectomy cases than in the open cases. The postoperative complications with this technique were within a permissible range. No statistical difference was seen in the survival curve after surgery between the laparoscopic group of advanced cases preoperatively diagnosed as surgical T2N1 or lower and the open group.Conclusion The laparoscopic technique is not only less invasive, but also similarly safe and curative compared with open gastrectomy.