The short-term outcome in esophagogastric junctional adenocarcinoma patients receiving total gastrectomy: Laparoscopic versus open gastrectomy - A retrospective cohort study
The short-term outcome in esophagogastric junctional adenocarcinoma patients receiving total gastrectomy: Laparoscopic versus open gastrectomy - A retrospective cohort study
复制标题
接受全胃切除术的食管胃交界性腺癌患者的短期结果：腹腔镜与开腹胃切除术——一项回顾性队列研究
DOI：
10.1016/j.ijsu.2013.06.010
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发表时间：
2013-01-01
影响因子：
15.3
通讯作者：
Zhao, Qingchuan
中科院分区：
文献类型：
--
作者：
Hong, Liu;Han, Yu;Zhao, Qingchuan
目的：本研究旨在比较接受腹腔镜全胃切除术和开腹全胃切除术的Siewert II型食管胃交界腺癌患者的生活质量。方法：自2008年9月1日至2012年5月1日，连续纳入204例Siewert II型食管胃交界腺癌患者进行回顾性研究。患者被分配接受腹腔镜全胃切除术或开腹全胃切除术。收集并比较术后转归及生活质量问卷的详细情况。结果：开腹胃切除术组共104例患者，腹腔镜胃切除术组共100例患者。各组之间在人口统计学、失血量、吻合口瘘、吻合口狭窄、住院时间、再次手术和院内死亡率方面没有差异。整个随访期间共有188例患者（92.16%）回答了问卷测量，其中腹腔镜组93例（93%），开腹组95例（91.35%）。腹腔镜组各量表、项目评分较开腹组改善更快，提示腹腔镜组患者恢复速度明显快于开腹组。结论：腹腔镜全胃切除术可使食管胃交界部腺癌患者的短期获益较开腹组明显改善。 (C) 2013 Surgical Associates Ltd. 由 Elsevier Ltd 出版。保留所有权利。
Objective: This study aimed to compare the quality of life in Siewert type II esophagogastric junctional adenocarcinoma patients receiving either laparoscopic total gastrectomy or open total gastrectomy.Methods: From Sep 1, 2008 to May 1, 2012, totally 204 consecutive patients with Siewert type II esophagogastric junctional adenocarcinoma were involved in this retrospective study. Patients were assigned to receive either laparoscopic total gastrectomy or open total gastrectomy. Details concerning the postoperative outcomes and the quality of life questionnaire were collected and compared.Results: Totally 104 patients were involved in the open gastrectomy group and 100 in the laparoscopic gastrectomy group. No differences were noted between the groups in demographics, blood loss, anastomotic leak, anastomotic stricture, hospital stay, reoperation and in-hospital mortality. Totally 188 cases of patients (92.16%) responded to the questionnaire measures during the entire follow-up period, including 93 (93%) in the laparoscopic group and 95 (91.35%) in the open group. The score of every scale and item in laparoscopic group improved much more quickly comparing with the open group, suggesting that patients in laparoscopic group recovered much more quickly than those in open group.Conclusions: Laparoscopic total gastrectomy could lead to a significant improvement of the short-term benefits for patients with esophagogastric junctional adenocarcinoma as compared with open group. (C) 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.