首页|腹腔镜近端胃切除术与腹腔镜根治性全胃切除术治疗近端胃癌的效果比较

腹腔镜近端胃切除术与腹腔镜根治性全胃切除术治疗近端胃癌的效果比较

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目的 对比腹腔镜近端胃切除术与腹腔镜根治性全胃切除术治疗近端胃癌的临床效果.方法 70例近端胃癌患者随机分为两组,A组采用腹腔镜近端胃切除术治疗,B组采用腹腔镜根治性全胃切除术治疗,比较两组的手术相关指标、炎性因子水平及并发症.结果 A组的手术相关指标均优于B组,术后7d的hs-CRP、IL-6、TNF-α水平均低于B组(P<0.05).两组的并发症总发生率比较,差异无统计学意义(P>0.05).结论 与腹腔镜根治性全胃切除术相比,腹腔镜近端胃切除术治疗近端胃癌患者的创伤较小,术后炎性反应较轻.
Comparison on the Effects of Laparoscopic Proximal Gastrectomy and Laparoscopic Radical Total Gastrectomy in the Treatment of Proximal Gastric Cancer
Objective To compare the clinical effects of laparoscopic proximal gastrectomy and laparoscopic radical total gastrectomy in the treatment of proximal gastric cancer.Methods 70 patients with proximal gastric cancer were randomly divided into two groups.Group A was treated with laparoscopic proximal gastrectomy,and group B was treated with laparoscopic radical total gastrectomy.The operation related indicators,inflammatory factor levels and complications were compared between the two groups.Results The operation related indicators of group A were better than those of group B,and the levels of hs-CRP,IL-6 and TNF-α at 7 days after surgery were lower than those of group B(P<0.05).No significant difference was found in the total incidence of complications between the two groups(P>0.05).Conclusions Compared with laparoscopic radical total gastrectomy,laparoscopic proximal gastrectomy in the treatment of patients with proximal gastric cancer has less trauma and slighter postoperative inflammatory response.

Proximal gastric cancerLaparoscopic radical total gastrectomyLaparoscopic proximal gastrectomy

韩栓柱、徐毅

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南阳市第一人民医院胃肠外科二病区,河南南阳 473000

近端胃癌 腹腔镜根治性全胃切除术 腹腔镜近端胃切除术

河南省医学科技攻关计划联合共建项目

LHGJ20210977

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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