腹腔镜与开腹胃癌D2根治术的远期疗效分析-外科学(普外)专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要····························································1 英文摘要···························································2 第一章 前言·······················································3 第二章 资料与方法···················································4 2.1 病例选择························································4 2.2 手术方法························································4 2.3 辅助治疗························································6 2.4 随诊方法························································6 2.5 比较指标························································7 2.6 统计处理························································7 第三章 结果························································8 3.1 一般情况·······················································8 3.2 手术远期疗效评价················································8 3.2.1 局部复发及远处转移············································8 3.2.2 生存率························································9 第四章 讨论························································12 4.1 腹腔镜胃癌手术原则··············································12 4.2 胃癌淋巴结清扫及切缘············································12 4.3 手术远期疗效比较···············································13 4.3.1 局部复发率及远处转移率比较···································13 4.3.2 生存率比较···················································13 4.4 术后生存影响因素··············································14 第五章 结论·······················································16 参考文献···························································17 综述·······························································19 腹腔镜与开腹胃癌 D2 根治术的远期疗效分析 摘要 目的 探讨腹腔镜胃癌根治术及传统开腹胃癌根治术的远期疗效。 方法 收集 2005 年至 2011 年 1 月在我科行腹腔镜下胃癌 D2 根治术和同期由同 组人员行开腹胃癌 D2 根治术的病例 100 例为调查对象，其中腹腔镜胃癌 D2 根 治术 46 例，开腹胃癌 D2 根治术 54 例。对所有患者行电话回访、信件及门诊回 访，对比两组胃癌根治术后在术后肿瘤局部复发、远处转移、生存率等远期疗效。 结果 两组病人在性别、年龄、肿瘤部位、TNM 分期、浸润深度、分化程度、 术后化疗方面构成无显著性差异(P0.05)。腹腔镜组及开腹组在局部复发率及远 处转移率分别为 10.87%(5/46)、 6.52%(3/46)与 7.41%(4/54)、5.56%(3/54)，差异 无显著性意义。两组在