摘要
目的:比较腹腔镜胃癌手术中两种处理血管方法的临床效果。方法:回顾性分析过去4年间行腹腔镜远端胃癌D2根治术的187例患者的手术视频资料及临床资料,根据术中处理血管的方式将患者分为方法 1组(89例)和方法 2组(98例),方法 1主要在主刀的独立操作下完成,方法 2通过主刀和助手的默契配合完成,比较两组患者术前、术中、术后情况。结果:两组患者术前基本情况具有可比性。两组在术中病理检获淋巴结数、术后相关总并发症方面差异均无统计学意义(均P>0.05);方法 2组在手术时间、手术出血量均优于方法 1组(均P<0.05)。结论:通过主刀和助手的默契配合能较快完成血管的处理,缩短淋巴结清扫时间,减少术中出血,且并未降低淋巴结清扫质量,故推荐临床应用。
Objective： To compare the clinical effects between two approaches for management of blood vessels during laparoscopic gastric cancer surgery. Methods： The surgical video and clinical data 187 patients undergoing laparoscopic D2 radical gastrectomy for distal gastric cancer over the past 4 years were retrospectively analyzed. According to the methods used for management of blood vessels during operation, the patients were divided into method one group （n=89） and method two group （n=98）. The major part of procedure of method one was performed by the primary surgeon alone, while the procedure of method two was completed by the close cooperation between the primary surgeon and the assistant surgeon. The pre-, intra- and postoperative conditions between the two groups of patients were compared. Results： The preoperative conditions between the two groups were comparable. No statistical difference was observed in number of lymph nodes identified at pathological examination, and the incidence of associatedpostoperative complications between the two groups （both P〉0.05）, while method two group was significantly superior to method one group with regard to operative time and intraoperative blood loss （both P〈0.05）. Conclusion： Through the close cooperation between the primary surgeon and the assistant surgeon, management of blood vessels can be quickly completed, the time for lymph node clearance is shortened, intraoperative blood loss is reduced, and with no decrease in quality of lymph node clearance, so it is recommended to be used in clinical practice.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2014年第10期1321-1325,共5页
China Journal of General Surgery
