腹腔镜辅助下近端胃癌全胃切除术与近端切除术对比的临床研究

发布时间：2018-05-20 19:53

本文选题：近端胃癌(PGC) + 腹腔镜　；参考：《青海大学》2017年硕士论文

【摘要】：目的:比较腹腔镜辅助下全胃切除术(TG)与腹腔镜辅助下近端胃切除术(PG)对于近端胃癌外科治疗中的临床意义。方法:收集2014年10月至2016年12月就诊于青海大学附属医院,胃镜病理确诊近端胃癌(PGC)后行腹腔镜辅助手术的病例资料52例,其中近端切除(PG)组25例,全胃切除组(TG)27例。比较两组患者其病例特点、手术相关情况及术后并发症等方面的差异。结果:近端切除组与全胃切除组的一般病例特点基本相同,其年龄、性别、BMI(体重指数)、肿瘤部位、肿瘤分期比较无统计学差异(P0.05),具有可比性。两组相比较近端切除组较之全胃切除组,其手术时间(min)较短(231.40±25.44VS 263.70±16.21,P0.05),术后通气时间(天)较短(2.68±0.85 VS 3.19±0.88,P0.05),术后腹腔引流管拔管时间(天)较短(8.60±2.18 VS 10.11±2.78,P0.05),术后住院时间(天)较短(11.88±1.67 VS 13.22±2.81,P0.05),但淋巴结清扫数目(个)较少(19.60±4.74 VS 25.59±9.06,P0.05)。两组比较,手术切缘阳性例数(均为0例)、术中出血量(ml)(117.20±51.52 VS 150.37±70.46,P=0.060)及术后并发症(22%VS 22.2%,P=0.845)均无统计学差异。结论:腹腔镜辅助近端胃癌切除术(PG)在达到近端胃癌(PGC)根治的同时,具有手术时间短,术后恢复快的特点,对于治疗近端胃癌是安全并有效的。
[Abstract]:Objective: to compare the clinical significance of laparoscopic assisted total gastrectomy (TG) and laparoscopic proximal gastrectomy (PGP) in surgical treatment of proximal gastric cancer. Methods: from October 2014 to December 2016, 52 patients with proximal gastric cancer diagnosed by gastroscopy and treated with laparoscopic assisted surgery were collected, including 25 cases in proximal resection group and 27 cases in total gastrectomy group. To compare the difference between the two groups in case characteristics, operative related conditions and postoperative complications. Results: the characteristics of general cases in proximal resection group and total gastrectomy group were basically the same. There was no significant difference in age, sex, body mass index (BMI), tumor location and tumor stage between the two groups (P 0.05). The two groups were compared between the proximal resection group and the total gastrectomy group. The operative time was 231.40 卤25.44VS 263.70 卤16.21 P0.05, the postoperative ventilation time was 2.68 卤0.85 vs 3.19 卤0.88V, the extubation time was 8.60 卤2.18 vs 10.11 卤2.78 P0.05, and the postoperative hospitalization time was 11.88 卤1.67 vs 13.22 卤2.81, but the number of lymph node dissection was 19.60 卤4.74 vs 25.59 卤9.06 P0.05. the postoperative hospitalization time was 11.88 卤1.67VS 13.22 卤2.81V 0.05a, but the number of lymph nodes was 19.60 卤4.74 vs 25.59 卤9.06VS 25.59 卤9.06V P 0.05a. There was no significant difference between the two groups in the number of positive cases (all 0 cases, intraoperative bleeding volume: 117.20 卤51.52 vs 150.37 卤70.46) and postoperative complications (22 vs 22. 2 and P 0. 845). Conclusion: Laparoscopic assisted proximal gastric cancer resection (PGN) is safe and effective in the treatment of proximal gastric cancer.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.2

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