标题：不同胃癌根治术治疗早期胃癌的疗效评价

      作者：田景中，李光云，许建国，黄宝玉
    （亳州市人民医院普外科，安徽 亳州 236800）

      卷次： 2013年24卷17期

      【摘要】 目的 观察不同胃癌根治术治疗早期胃癌的临床效果。方法 对2009年9月至2011年9月采用
开腹胃癌根治术(开腹组，n=50)和腹腔镜胃癌根治术(腹腔镜组，n=50)治疗的100例早期胃癌患者的临床资料进
行回顾性分析。结果 开腹组患者的手术时间为(221.89±54.27) min、术中出血量为(256.24±176.73) ml、术后
进食半流食时间为(7.23±2.14) d、疼痛持续时间为(3.74±0.54) d、肛门排气时间为(4.19±1.37) h、住院时间为
(12.49±0.57) d。腹腔镜组患者的手术时间为(193.16±52.54) min、术中出血量为(158.16±121.35) ml、术后进食半
流食时间为(5.18±1.89) d、疼痛持续时间为(3.06±0.47) d、肛门排气时间为(2.13±1.26) h、住院时间为(10.23±0.46) d。
腹腔镜组的手术时间、术中出血量、术后进食半流食时间、疼痛持续时间、肛门排气时间和住院时间差异均具有
统计学意义(P<0.05）；两组患者在肿瘤切缘、淋巴结清扫范围、清扫淋巴结数量、并发症、淋巴结转移和复发率方
面差异均无统计学意义(P>0.05)。结论 与开腹胃癌根治术比较，腹腔镜胃癌根治术治疗早期胃癌具有安全有
效、创伤小、恢复快、住院时间短等优势，可以作为治疗早期胃癌的首选方法。

      【关键词】 开腹手术；腹腔镜；早期胃癌；疗效

      【中图分类号】 R735.2 【文献标识码】 A 【文章编号】 1003—6350（2013）17—2515—03


Curative effect of different types of radical gastrectomy for the treatment of early gastric cancer.
TIAN
Jing-zhong, LI Guang-yun, XU Jian-guo, HUANG Bao-yu. Department of General Surgery, Bozhou People's Hospital,
Bozhou 236800, Anhui, CHINA

【Abstract】 Objective To compare and analyze the curative effect and prognosis of different types of radical
gastrectomy for the treatment of early gastric cancer. Methods The clinical data of 100 patients with early gastric
cancer in our hospital from September 2009 to September 2011 was analyzed retrospectively, who were treated with open
radical gastrectomy (open surgery group, n=50) or the laparoscopic radical gastrectomy (laparoscopic group, n=50).
Results The operation time, intraoperative bleeding, time of starting liquid diet, pain time, anorectum exhaust time,
length of hospital stay were (221.89±54.27) min, (256.24±176.73) ml, (7.23±2.14) days, (3.74±0.54) days, (4.19±1.37) h,
(12.49±0.57) days in the open surgery group, and (193.16±52.54) min, (158.16±121.35 ) ml, (5.18±1.89) days,
(3.06±0.47) days, (2.13±1.26) h, (10.23±0.467) days in the laparoscopic group, respectively. Statistically significant
difference was found between the two groups in the above-mentioned indexes (P<0.05). However, there were no sig-
nificant difference in the tumor resection margins, extent of lymph node dissection, number of the lymph node dissec-
tion, syndrome, lymphatic metastasis and recurrence rate between the two groups (P>0.05). Conclusion Compared
with open radical gastrectomy, the laparoscopic radical gastrectomy for treatment of early gastric cancer has a lot of
advantages, including good safety, high efficiency, minimal invasion, early recovery and short length of hospital stay,
which can be chosen as the preferred method to treat early gastric cancer.

      【Key words】 Open surgery; Laparoscopy; Early gastric cancer; Curative effect