早期胃癌次全切除术中完全与部分网膜切除的效果比较
Comparsion of effects of complete and partial omentum resection in subtotal gastrectomy of early gastric cancer
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摘要: 目的:比较早期胃癌远端次全切除术中网膜部分切除与全切除的效果。方法:将行开放性远端胃次全切除的40例早期胃癌患者随机分入网膜部分切除组及网膜全切组, 每组各20例。比较2组的临床病理数据及术后预后相关指标。结果:网膜部分切除组的手术时间、住院时间均短于网膜全切组(P0. 01和P0. 05), 其术后第1天血清白蛋白水平明显高于网膜全切组(P0. 05), 其余指标2组差异无统计学意义(P0. 05)。网膜全切组1例患者出现腹腔积液, 网膜部分切除组1例患者出现肺不张, 均经保守后成功控制。40例患者均无复发, 截至2010年12月30日均存活。结论:对于早期胃癌的治疗, 开放性远端次全切除术中网膜部分切除有临床应用价值。Abstract: Objective: To compare the effects of complete omentum(CO) and partial omentum(PO) resection in subtotal gastrectomy of early gastric cancer. Methods: Forty patients with early gastric cancer undergone with open distal subtotal gastrectomy were randomly divided into CO and PO group(20 patients in each group) . The clinicopathological parameters and the related indexes of postoperative prognosis of two groups were compared. Results: The time of operation and hospital stay of PO group were shorter than that of CO group(P < 0. 01-P < 0. 05) . The serum albumin level of PO group on the first day after operation was higher than that of CO group(P < 0. 05) . There were no differences in the other indexes between the two groups(P > 0. 05) . One case of PO group appeared atelectasis, which was successfully controled by conservative therapy. All patients were alive without recurrence until December 30, 2010. Conclusions: The partial omentum resection in open distal subtotal gastrectomy in the treatment of early gastric cancer has a certain clinical value.