Clinical significance of laparoscopic-assisted radical gastrectomy in advanced gastric cancer
10.3969/j.issn.1005-6483.2014.10.005
- VernacularTitle:腹腔镜辅助下胃癌根治切除术治疗进展期胃癌的临床效果分析
- Author:
Zhitao SHI
;
Chunguang GUO
;
Shaobing DUAN
- Publication Type:Journal Article
- Keywords:
laparoscopy;
radical gastrectomy;
advanced gastric cancer
- From:
Journal of Clinical Surgery
2014;(10):729-731
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of laparoscopicassisted radical gastrectomy in advanced gastric cancer.Methods According to the inclusion criteria,164 patients with advanced gastriccancer who treated in the Cancer Institute and Hospital,Chinese Academy of Medical Sciences betweenJanuary and June of 2009 were enrolled into the study.Based on the operation methods,all cases were divided into the experimental group(laparoscopy group,n =79)and the control group(laparotomy group,n =85).Except for the laparoscopicassisted radical gastrectomy,patients received the same treatment in thethe experimental group and control group.Intraoperative indexes,postoperative pathological results and recovery,complications and 5year survival rate were observed and compared between groups.Results Therecovery time of patient's general condition in the experimental group was shorter than that of the controlgroup(P <0.05).The difference of serious postoperative complications rate between the two groups wassignificant(P <0.05).The difference of 5year survival rate between the two groups was not significant(P >0.05).Conclusion Laparoscopicassisted radical gastrectomy is safe and feasible in the treatmentof advanced gastric cancer.This technique could get equal treatment effect as laparotomy and it has obviousadvantage in postoperative recovery.
