开腹与腹腔镜辅助下远端胃癌D2根治术对进展期胃癌的近
期疗效分析
罗武凌
【期刊名称】《重庆医学》 【年(卷),期】2013(042)019
【摘要】Objective To investigate the clinical value of laparoscopy surgery conducted on advanced gastric cancer by the comparative analysis of short-term effect of open and laparoscopy-assisted the distal gastric D2 radical surgery.Methods The clinicopathologic features of 75 patients with advanced gastric cancer received laparoscopy(n=42) and open surgery(n=33) respectively from June 2009 to July 2012 in this hospital were collected,and the outcome result was analyzed.Results All of the patients were received successful distal gastric D2 radical surgery.The mean operation time,length of incision,blood loss,first flatus time,ground activity time,liquid diet intake time and hospital stay in laparoscopy group,which were definitely shorter than open surgery group,were
(162.00±12.99)min,(5.99±0.77)cm,(149.14±26.87)mL,(4.15±0.80)d,(2.93±0.83)d,(4.23±0.78)d and (13.30± 2.78)d respectively(P<0.05) ;but there was no significant difference between laparoscopy and open surgery with number of lymph nodes removed and length of proximal and distal margin to the cancer(P>0.05),which were 29.13 ±17.87,(6.05 ± 1.12)cm