Department of Surgery, University of Cagliari, Cagliari, CA, Italy.
J Surg Oncol. 2011 Oct;104(5):544-51. doi: 10.1002/jso.21980. Epub 2011 Jun 7.
Current literature suggests that minimally invasive distal gastrectomy (MIDG) may enhance post-operative recovery and decrease morbidity compared to open surgery (ODG) in patients with gastric cancer. A meta-analysis of six Prospective Randomized Trials comparing MIDG (343 patients) and ODG (323 patients) for gastric cancer was conducted. MIDG was associated with increased operative time, reduced blood loss and overall morbidity. There was not sufficient data to draw solid conclusions about the oncologic quality of MIDG.
目前的文献表明,与开腹手术(ODG)相比,微创远端胃切除术(MIDG)可能会改善胃癌患者的术后恢复并降低发病率。对比较 MIDG(343 例)和 ODG(323 例)治疗胃癌的 6 项前瞻性随机试验进行了荟萃分析。MIDG 与手术时间延长、出血量减少和总发病率降低相关。关于 MIDG 的肿瘤学质量,没有足够的数据得出确凿的结论。