本文選題：近端胃癌(PGC) + 腹腔鏡�。� 參考：《青海大學(xué)》2017年碩士論文

【摘要】：目的:比較腹腔鏡輔助下全胃切除術(shù)(TG)與腹腔鏡輔助下近端胃切除術(shù)(PG)對于近端胃癌外科治療中的臨床意義。方法:收集2014年10月至2016年12月就診于青海大學(xué)附屬醫(yī)院,胃鏡病理確診近端胃癌(PGC)后行腹腔鏡輔助手術(shù)的病例資料52例,其中近端切除(PG)組25例,全胃切除組(TG)27例。比較兩組患者其病例特點(diǎn)、手術(shù)相關(guān)情況及術(shù)后并發(fā)癥等方面的差異。結(jié)果:近端切除組與全胃切除組的一般病例特點(diǎn)基本相同,其年齡、性別、BMI(體重指數(shù))、腫瘤部位、腫瘤分期比較無統(tǒng)計學(xué)差異(P0.05),具有可比性。兩組相比較近端切除組較之全胃切除組,其手術(shù)時間(min)較短(231.40±25.44VS 263.70±16.21,P0.05),術(shù)后通氣時間(天)較短(2.68±0.85 VS 3.19±0.88,P0.05),術(shù)后腹腔引流管拔管時間(天)較短(8.60±2.18 VS 10.11±2.78,P0.05),術(shù)后住院時間(天)較短(11.88±1.67 VS 13.22±2.81,P0.05),但淋巴結(jié)清掃數(shù)目(個)較少(19.60±4.74 VS 25.59±9.06,P0.05)。兩組比較,手術(shù)切緣陽性例數(shù)(均為0例)、術(shù)中出血量(ml)(117.20±51.52 VS 150.37±70.46,P=0.060)及術(shù)后并發(fā)癥(22%VS 22.2%,P=0.845)均無統(tǒng)計學(xué)差異。結(jié)論:腹腔鏡輔助近端胃癌切除術(shù)(PG)在達(dá)到近端胃癌(PGC)根治的同時,具有手術(shù)時間短,術(shù)后恢復(fù)快的特點(diǎn),對于治療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 鹵25.44VS 263.70 鹵16.21 P0.05, the postoperative ventilation time was 2.68 鹵0.85 vs 3.19 鹵0.88V, the extubation time was 8.60 鹵2.18 vs 10.11 鹵2.78 P0.05, and the postoperative hospitalization time was 11.88 鹵1.67 vs 13.22 鹵2.81, but the number of lymph node dissection was 19.60 鹵4.74 vs 25.59 鹵9.06 P0.05. the postoperative hospitalization time was 11.88 鹵1.67VS 13.22 鹵2.81V 0.05a, but the number of lymph nodes was 19.60 鹵4.74 vs 25.59 鹵9.06VS 25.59 鹵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 鹵51.52 vs 150.37 鹵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.
【學(xué)位授予單位】：青海大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R735.2

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