Maejima Kentaro, Taniai Nobuhiko, Yoshida Hiroshi, Hayakawa Tomohiro, Takatsuno Yasushi, Hasegawa Kumi, Kaneko Jun
Dept. of Surgery, Hasuda Hospital.
Gan To Kagaku Ryoho. 2022 Dec;49(13):1426-1428.
We compared laparoscopic gastrectomy and open gastrectomy for the early gastric cancer. Laparoscopic surgery was comparable to laparotomy in terms of operation time and number of lymph node dissections, significantly less bleeding volume, postoperative hospital stay, and lower postoperative complication rate. As a result of E-PASS, surgical invasion was significantly low and the overall risk score was also significantly low. There was no difference in cancer-specific survival, and overall survival was significantly better with laparoscopic distal gastrectomy. Based on the above, laparoscopic gastrectomy is considered to be superior to open gastrectomy as a surgical technique for the early gastric cancer.
我们比较了腹腔镜胃癌切除术和开腹胃癌切除术用于早期胃癌的情况。腹腔镜手术在手术时间和淋巴结清扫数量方面与开腹手术相当，出血量显著更少，术后住院时间更短，术后并发症发生率更低。根据电子病历分析系统（E-PASS）的结果，手术侵袭性显著较低，总体风险评分也显著较低。在癌症特异性生存率方面没有差异，腹腔镜远端胃癌切除术的总体生存率显著更好。基于上述情况，腹腔镜胃癌切除术作为早期胃癌的一种手术技术被认为优于开腹胃癌切除术。
