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目的:比较腹腔镜与开腹胃癌根治术的远期疗效和安全性。方法:回顾性分析2011年2月—2013年6月120例行胃癌根治手术患者的临床资料,其中腹腔镜手术者60例作为观察组,开腹手术者60例作为对照组。对比两组的手术、围手术期和远期生存情况。结果:观察组手术时间、术中淋巴结清扫数目、术后并发症和围手术期死亡情况与对照组比较差异无统计学意义(均P>0.05),但观察组术中出血量明显少于对照组(t=2.645,P<0.05),肛门排气时间明显早于对照组(t=2.410,P<0.05)。两组患者的生存率比较经Log-rank检验差异无统计学意义(P>0.05)。结论:腹腔镜下行胃癌根治术远期疗效与开腹手术相近,但其具有微创的优势,手术安全性优于开腹手术。
Objective: To compare the long-term efficacy and safety of laparoscopic and open radical gastrectomy. Methods: The clinical data of 120 patients undergoing radical operation of gastric cancer from February 2011 to June 2013 were retrospectively analyzed. Among them, 60 patients underwent laparoscopic surgery as observation group and 60 patients underwent open surgery as control group. Comparing the two groups of surgery, perioperative and long-term survival. Results: The operation time, number of lymph node dissection, postoperative complications and perioperative mortality in the observation group were not significantly different from those in the control group (all P> 0.05), but the intraoperative blood loss in the observation group was significantly less than that in the control group Group (t = 2.645, P <0.05). The time of anal exhaust was significantly earlier than that of the control group (t = 2.410, P <0.05). There was no significant difference in survival between the two groups by Log-rank test (P> 0.05). Conclusion: The long-term efficacy of laparoscopic radical gastrectomy for gastric cancer is similar to that of laparotomy, but it has the advantage of minimally invasive surgery. The operative safety is superior to laparotomy.