Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy.
Comparative study of laparoscopic radical gastrectomy and open radical gastrectomy.
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DOI：
10.4103/jmas.jmas_155_18
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发表时间：
2020-01
影响因子：
0.8
通讯作者：
Yu W
中科院分区：
文献类型：
--
作者：
Jiao J;Liu S;Chen C;Maimaiti A;He Q;Hu S;Yu W
目前，胃癌的主要治疗方法是手术切除联合放化疗，其中最重要的是根治性胃切除术。腹腔镜进展期胃癌根治术操作难度大，能否达到与剖腹手术相同的疗效仍存在争议。本研究回顾性分析了2011年5月至2015年12月我医疗团队手术治疗的269例胃癌患者的临床资料，对比分析腹腔镜辅助胃癌根治术与传统开腹胃癌根治术的临床疗效。腹腔镜手术组的手术时间较长，术中失血量较少，术后排气时间较短，术后住院时间较短，引流管取出时间较短。腹腔镜手术组的平均收获淋巴结数量为22.9 ± 9.5/例。开腹组平均23.3 ± 9.9例。差异无统计学意义。随着腹腔镜手术次数的增加，术中失血量逐渐减少，手术时间逐渐缩短。腹腔镜胃癌根治术在术中出血量、术后排气时间、术后住院时间、引流管拔除时机等方面均优于开腹手术，具有上级优势。随着腹腔镜胃癌根治术例数的增加，手术时间缩短，术中出血量减少。
At present, the main treatment of gastric cancer is surgical resection combined with radiotherapy and chemotherapy, the most important part of which is radical gastrectomy. Laparoscopic radical gastrectomy for advanced gastric cancer is difficult to operate, and whether it can achieve the same curative effect with the laparotomy is still controversial. This study retrospectively analysed the clinical data of 269 gastric cancer patients surgically treated by our medical team from May 2011 to December 2015 for comparative analysis of the clinical efficacy of laparoscopic-assisted radical gastrectomy and traditional open radical gastrectomy. The laparoscopic surgery group had longer duration of surgery, less intra-operative blood loss, shorter post-operative exhaust time, shorter post-operative hospital stay and shorter timing of drain removal. The average number of harvested lymph nodes in the laparoscopic surgery group was 22.9 ± 9.5 per case. And in the laparotomy group the average number was 23.3 ± 9.9 per case. The difference had no statistical significance. With the increase of the number of laparoscopic surgical procedures, the amount of intra-operative blood loss gradually decreases, and the duration of surgery is gradually reduced. Laparoscopic radical gastrectomy is superior to open surgery in the aspects of intra-operative blood loss, post-operative exhaust time, post-operative hospital stay and timing of drain removal. With the number of laparoscopic radical gastrectomy cases increased, the duration of surgery is shortened and the amount of intra-operative blood loss will decrease.