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腹腔镜下不同淋巴结清扫方案对Ⅰ~Ⅲ期胃癌手术临床指标及术后并发症的影响
作者:钱俊甫  李书旺  牛国浩  闫红印 
单位:平煤神马医疗集团总医院普外科  河南 平顶山 467000 
关键词:胃肿瘤/外科学 腹腔镜检查/方法 淋巴结切除术 术后并发症 治疗结果 
DOI:10.13267/j.cnki.syzlzz.2019.01.012
出版年,卷(期):页码:2019,34(1):57-60
摘要:

目的 探讨腹腔镜下常规和改良淋巴结清扫方案对Ⅰ~Ⅲ期胃癌患者手术相关临床指标及术后并发症的影响。方法 将120例Ⅰ~Ⅲ期胃癌患者以随机数字表法分为对照组(60例)和观察组(60例),分别采用常规和改良淋巴结清扫方案治疗。比较两组患者手术时间、术中出血量、住院时间、淋巴结送检数量及术后并发症发生率。结果 观察组患者手术时间短于对照组(P<0.05)。两组患者术中出血量和住院时间比较,差异均无统计学意义(均P>0.05)。观察组患者淋巴结送检数量多于对照组(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论 腹腔镜下改良淋巴结清扫方案用于Ⅰ~Ⅲ期胃癌患者可有效缩短手术时间,增加淋巴结清扫个数,且安全性值得认可,价值优于常规淋巴结清扫方案。

Objective To investigate the influences of conventional and modified laparoscopic lymph node dissection on the surgical related clinical indexes and postoperative complications of patients with stage Ⅰ-Ⅲ gastric cancer. Methods A total of 120 patients with stage Ⅰ-Ⅲ gastric cancer were enrolled and randomly assigned into the control group (60 patients) and the observation group (60 patients), which were treated with conventional laparoscopic lymph node dissected and modified laparoscopic lymph node dissection respectively. The operation time, intra365bet娱乐官网网址operative blood loss, hospital staying time, the number of lymph nodes dissected and the incidence of postoperative complications were compared between the two groups. Results The operation time of the observation group was significantly shorter than that of the control group(P<0.05). Nevertheless, no significant difference was detected of the intraoperative blood loss and hospital staying time between the two groups(P>0.05). The number of lymph nodes dissected was significantly more in the observation group than the control group(P<0.05). There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05). Conclusion Compared with conventional laparoscopic lymph node dissection, modified laparoscopic lymph node dissection can efficiently shorten the operation time, increase the number of lymph nodes dissected, and shows good safety in the treatment of patients with stage Ⅰ-Ⅲ gastric cancer.

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