目的 探讨腹腔镜辅助远端进展期胃癌根治术的可行性和近期效果.方法 对12例行腹腔镜辅助远端胃癌根治术(腹腔镜组)及18例开腹远端胃癌根治术(开腹组)患者的术中、术后指标进行初步比较.结果 腹腔镜组和开腹组在手术时间、术中出血量、淋巴结清除数方面差异无统计学意义(P>0.05),但是腹腔镜组切口长度明显小于开腹组(P<0.01);腹腔镜组术后肛门排气时间、开始下床活动时间、开始进食时间早于开腹组(P<0.05),且术后住院天数亦少于开腹组(P<0.05).结论 腹腔镜辅助远端进展期胃癌根治术是安全可行的,能达到与开腹手术相当的根治效果,其微创优势明显,具有优于开腹手术的近期疗效.%Objective To explore the safety and short - term effects of laparoscopy - assisted radical gastrectomy for advanced gastric cancer. Methods Two groups of patients with advanced gastric cancer who underwent either laparoscopy - assisted or open distal gastrectomy (including 12 and 18 cases in each group)were initially compared on the clinical data. Results No significant difference between two groups was observed for the operation time, the blood loss, the number of lymph nodes dissected( P ＞ 0. 05 ),but the length of incision for laparoscopy - assisted radical gastrectomy was significantly shorter than that for open surgery ( P ＜0. 01 ). The time of gastrointestional function recovery,the time for the patients to stand up, the time of oral intake and the time of postoperative hospital stay of the former were less than the latter ( P ＜ 0. 05 ). Conclusion Laparoscopy - assisted radical gastrectomy for advanced gastric cancer is safe and feasible, it achieves the same cancer clearance as open surgery. The minimal invasive advantages leads to more rapid recovery.
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