Journal of Qiqihar University of Medicine最新文献

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Comparative study of laparoscopic gastrectomy D2 radical surgery and open gastrectomy for upper stomach cancer 腹腔镜胃切除术D2根治术与开放式胃切除术治疗上胃癌的比较研究

Journal of Qiqihar University of Medicine Pub Date : 2013-01-01 DOI: 10.3760/CMA.J.ISSN.1006-9801.2014.05.012

Wenlin Lin, Zhixiong Li, Yanchang Xu, Xuyun Xie, Zhiqing Huang, Guofeng Pan

{"title":"Comparative study of laparoscopic gastrectomy D2 radical surgery and open gastrectomy for upper stomach cancer","authors":"Wenlin Lin, Zhixiong Li, Yanchang Xu, Xuyun Xie, Zhiqing Huang, Guofeng Pan","doi":"10.3760/CMA.J.ISSN.1006-9801.2014.05.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-9801.2014.05.012","url":null,"abstract":"Objective To evaluate the safety,tumor radical and early postoperative efficacy through comparison of laparoscopic gastric D2 radical surgery with traditional open gastric D2 radical surgery.Methods 254 patients with upper stomach cancer underwent surgery were selected,132 cases using conventional open gastrectomy (the traditional laparotomy group),122 patients underwent laparoscopic radical gastrectomy (laparoscopic surgery group).Laparoscopic surgery group with traditional open surgery group had no statistically significant differences in gender,age,tumor location,histological type and TNM staging.Results Open surgery group and laparoscopic surgery group had statistically significant differences in operative time [(235.78±31.56) min,(256.43±54.08) min,P ＜ 0.001],blood loss [(326.69±89.73) ml,(158.31±62.98) ml,P ＜ 0.001],incision length [(16.53±2.34) cm,(5.51±1.15) cm,P ＜ 0.001],gastrointestinal recovery time [(4.22±0.91) d,(3.31±0.83) d,P ＜ 0.001],first time eating liquid [(5.78±0.95) d,(5.56±0.78) d,P ＜ 0.001] and postoperative hospital stay [(12.62±2.89) d,(11.18±1.78) d,P ＜ 0.001].The total number of lymph node dissection and complications was not statistically significant.Conclusions Laparoscopic gastric D2 radical surgery is a safe,minimally invasive surgical method.Laparoscopic gastric D2 radical surgery has the same lymph node dissection and good early outcome compared with the traditional gastric D2 radical surgery,but postoperative recovery fast and less invasive. Key words: Gastric neoplasms; Gastric cancer radical operation; Laparoscopic; Rubber band fixed law","PeriodicalId":16936,"journal":{"name":"Journal of Qiqihar University of Medicine","volume":"158 1","pages":"332-335"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74856932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2