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Laparoscopic radical gastrectomy clinical research

Author: YuFei
Tutor: SunYueMing
School: Nanjing Medical University
Course: Surgery
Keywords: Gastric Cancer Laparoscopy Comparative study Follow-up
CLC: R735.2
Type: Master's thesis
Year: 2010
Downloads: 55
Quote: 0
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Abstract


Objective: To evaluate the safety of laparoscopic gastric cancer surgery and feasibility . Methods: Retrospective analysis of minimally invasive First Affiliated Hospital of Nanjing Medical Center from April 2004 to April 2009 laparoscopic gastric cancer surgery clinical data of 103 patients , and in 75 cases laparotomy ( open group ) as a control. Results: 178 patients were operated enrolled successfully completed . Number of lymph nodes removed and the operation time difference between the two groups was not statistically significant (P gt; 0.05), blood loss was less laparoscopic group than in the laparotomy group (P lt; 0.05). Anal exhaust time , bed time, and postoperative hospital stay was shorter than the laparotomy group ( both P lt; 0.05). Laparoscopy group were followed up for 12 to 60 months , lost four cases , 5-year survival rates were 92.2 %, 67.6 %, 45.3% . Laparotomy group were followed up for 12 to 65 months , lost two cases , 5-year survival rates were 90.7% , 65.2% , 42.3%. 5-year survival between the two groups had no significant difference (P gt; 0.05). CONCLUSION : Laparoscopic gastric cancer surgery is safe and feasible , and embodies the advantages of minimally invasive laparoscopic surgery , worthy of clinical application .

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CLC: > Medicine, health > Oncology > Gastrointestinal Cancer > Gastric neoplasms
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