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laparoscopic Versus 开放整体胃切除术后的短期和长期结果对于高级胃癌的开放整体胃切除术

Yoshihiko Kawaguchi¹, Katsutoshi Shoda¹, Suguru Maruyama¹

¹First Department of Surgery, Faculty of Medicine, University of Yamanashi, Chuo, Japan.

Cancer diagnosis & prognosis

|January 12, 2026

概括

laparoscopic全胃切除术 (LTG) 是晚期胃癌 (AGC) 的安全和可行的手术选择,显示了与开放全胃切除术 (OTG) 相似的长期结果. 这种最少的侵入性方法提供了诸如减少血液损失和更短的住院时间等好处.

科学领域:

手术瘤学手术瘤学
胃肠道手术胃肠道手术
最少侵入性的手术

背景情况:

整体胃切除术是胃癌的标准,特别是近端或大瘤.
腹腔镜全胃切除术 (LTG) 对早期疾病有希望,但对晚期胃癌 (AGC) 的数据有限.
对于AGC来说,比较LTG和开放全胃切除术 (OTG) 是至关重要的.

研究的目的:

为了比较LTG与OTG在AGC患者的短期和长期结果.
评估LTG在晚期胃癌的安全性和有效性.

主要方法:

一个追溯研究连续的AGC患者接受LTG或OTG与淋巴结解剖.
倾向性得分匹配 (1:1比) 用于最大限度地减少偏差.
收集的数据包括手术时间,血液损失,术后发病率,住院时间和生存率.

主要成果:

与OTG相比,LTG的操作时间更长,但流血量明显减少.
手术后发病率 (≥ClavienDindo 3级) 和生存率在LTG和OTG组之间是可比的.
经过长期治疗的患者在医院停留时间显著缩短.

结论:

laparoscopic全胃切除术是一种可行且安全的手术方法,用于晚期胃癌.
LTG提供了可比的短期和长期结果,以开放全胃切除术为AGC.
LTG的好处包括减少血液流失和缩短AGC患者的住院时间.

关键词:

腹腔镜检查 (Laparoscopy) 是一个非常简单的方法.晚期的癌症是晚期的癌症.胃癌胃癌是一种胃癌.开放式手术是开放式手术.整体胃切除术整体胃切除术

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