腹腔镜下局部进展期胃上部癌的淋巴结清扫的效果分析张磊刘云庚刘茜方传发夏来阳易建中摘要：目的對比分析腹腔镜辅助与开腹手术在进展期胃上部癌中淋巴结清扫的效果。方法选取2015年5月～2018年12月在我科治疗的44例进展期胃上部癌患者作为研究对象，均行淋巴清扫，根据不同手术方式分为腹腔镜组26例和开腹组18例，比较两组淋巴结清扫数目、术中出血量、手术时间、恢复进食时间、肛门排气时间、术后并发症及1年生存率。结果两组术中出血量、清扫淋巴结数目方面，差异无统计学意义（P>0.05）。腹腔镜组手术时间、恢复进食时间、肛门排气时间短于开腹组（P0.05）。两组患者手术后均随诊6～24个月，平均---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---16个月，腹腔镜组术后1年生存率为80.77%，与开腹组83.33%比较，差异无统计学意义（P>0.05）。结论腹腔镜辅助对进展期胃上部癌淋巴结清扫与开腹手术的淋巴结清扫效果相当，但在临床疗效方面具有微创优势并且有利于患者术后恢复，促进患者康复，值得临床应用。关键词：胃上部癌;进展期;腹腔镜;淋巴结清扫：R572;R656.6+1：BDOI：10.3969/j.issn.1006-1959.2020.19.062：1006-1959（2020）19-0188-02Abstract：ObjectiveTocompareandanalyzetheeffectoflaparoscopicassistedandopensurgeryinlymphnodedissectioninadvanceduppergastriccancer.MethodsAtotalof44patientswithadvanceduppergastriccancertreatedinourdepartmentfromMay2015toDecember2018wereselectedastheresearchobjects.Allpatientsunderwentlymphaticdissection.Accordingtodifferentsurgicalmethods，theyweredividedinto26casesinthelaparoscopicgroupand18casesintheopengroup.Comparethenumberoflymphnodedissection，intraoperativebloodloss，operationtime，timetorecoverfromeating，timeofanalexhaust，postoperativecomplications，and1-yearsurvivalratebetweenthetwogroups.ResultsTherewasnosignificantdifferenceintheamountofbloodlossandthenumberoflymphnodesdissectedbetweenthetwogroups（P>0.05）.Thelaparoscopicgroup'soperationtime，recoverytime，andanalexhausttimewereshorterthanthoseoftheopengroup（P0.05）.Thepatientsinbothgroupswerefollowedupfor6to24monthsaftersurgery，withanaverageof16months.The1-yearsurvivalrateinthelaparoscopicgroupwas80.77%，whichwasnotstatisticallysignificantcomparedwith83.33%intheopengroup（P>0.05）.ConclusionL---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---aparoscopy-assistedlymphnodedissectionforadvanceduppergastriccancerhadthesameeffectasopensurgery，butithadminimallyinvasiveadvantagesinclinicalefficacyandwasbeneficialtopostoperativerecoveryandpromotespatientrecovery.Itwasworthyofclinicalapplication.-全文完----本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---