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目的评价腹腔镜辅助贲门癌手术淋巴结清扫的效果。方法回顾性分析2004年1月至2009年9月期间我院分别行腹腔镜辅助及开腹贲门癌手术患者的临床资料,比较术后获取的淋巴结数目。结果 39例患者接受腹腔镜辅助贲门癌手术(腹腔镜组),63例患者接受开腹手术(开腹组)。2组患者术前合并症、病理学类型及病理分期差异无统计学意义(P>0.05)。腹腔镜组获取淋巴结(16.44±6.25)枚,其中第一站淋巴结(10.56±3.78)枚,转移率为74.4%;第二站淋巴结(3.82±1.82)枚,转移率为46.2%;第三站淋巴结(2.00±1.36)枚,转移率为5.1%。开腹贲门癌手术获取淋巴结(16.38±5.83)枚,其中第一站淋巴结(10.94±3.91)枚,转移率为71.4%;第二站淋巴结(3.71±1.55)枚,转移率为42.9%;第三站淋巴结(1.75±1.06)枚,转移率为3.2%,2组淋巴结清扫数目及转移率比较差异均无统计学意义(P>0.05)。结论腹腔镜辅助贲门癌手术淋巴结清扫效果满意,其远期疗效尚在继续观察中。
Objective To evaluate the effect of laparoscopic surgery on lymph node dissection in cardia cancer. Methods The clinical data of patients undergoing laparoscopic surgery and open cardia cancer surgery in our hospital from January 2004 to September 2009 were analyzed retrospectively. The number of lymph nodes after operation was compared. RESULTS: Thirty-nine patients underwent laparoscopic surgery for cardia cancer (laparoscopic group) and 63 patients underwent laparotomy (laparotomy group). There was no significant difference in preoperative complications, pathological types and pathological stage between the two groups (P> 0.05). The number of lymph nodes (16.44 ± 6.25) in the laparoscopic group was 10.56 ± 3.78, the rate of metastasis was 74.4%. The second lymph node was 3.82 ± 1.82, the rate of metastasis was 46.2%. The third station Lymph node (2.00 ± 1.36) pieces, the transfer rate was 5.1%. Lymph nodes (16.38 ± 5.83) were obtained by operation of open cardia cancer, of which the first node (10.94 ± 3.91) had a metastasis rate of 71.4%. The second node lymph node (3.71 ± 1.55) had a rate of 42.9% There was no significant difference in the number of lymph node dissection and metastasis between the two groups (P> 0.05). Conclusions Laparoscopic assisted cardia cancer operation lymph node dissection satisfactory results, the long-term efficacy is still continuing to observe.