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目的探讨腹腔镜对胃癌根治术中第6组淋巴结清扫的可行性。方法选取2014年1-12月于解放军总医院普通外科行胃癌根治术的患者380例,其中腹腔镜胃癌根治术97例,开腹胃癌根治术283例,对两组患者围术期相关指标及随访情况等进行回顾性分析。结果两组患者年龄、性别、术后病理分期、第6组淋巴结清扫数目等差异均无统计学意义(P>0.05)。但腹腔组第6组淋巴结清扫时间长于开腹组[(25.85±2.26)min vs(18.72±3.62)min,t=22.24,P<0.001]。随访6~18个月两组均未见局部复发。结论对于有丰富腹腔镜手术经验的术者,腹腔镜胃癌根治术行第6组淋巴结清扫是安全可行的。
Objective To investigate the feasibility of laparoscopic radical nephrectomy in group 6 lymph node dissection. Methods From January to December 2014, 380 patients underwent radical gastrectomy in the General Surgery General Hospital of People’s Liberation Army General Hospital. Among them, there were 97 cases undergoing laparoscopic radical gastrectomy and 283 cases undergoing open radical gastrectomy. The related indexes of perioperative period, Follow-up were retrospectively analyzed. Results There was no significant difference in age, gender, pathological stage, number of lymph node dissection in group 6 between the two groups (P> 0.05). However, the lymph node dissection time of group 6 in the abdominal cavity was longer than that in the open group [(25.85 ± 2.26) min vs (18.72 ± 3.62) min, t = 22.24, P <0.001]. Follow-up 6 to 18 months, no recurrence in both groups. Conclusion For those who have experience of laparoscopic surgery, laparoscopic radical gastrectomy group 6 lymph node dissection is safe and feasible.