基于倾向性评分匹配法的腹腔镜与开腹胃癌根治术后并发症的比较

doi:10.3969/j.issn.1006-6233.2021.09.014

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (1203 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective: To compare the postoperative complications between laparoscopic surgery (LG) and open surgery (OG) for gastric cancer and to evaluate the safety of laparoscopic surgery in patients with gastric cancer. Methods: From January 2019 to December 2019, 60 patients with gastric cancer underwent radical gastrectomy in Lu'an Hospital Affiliated to Anhui Medical University. Among them, 28 patients underwent laparoscopic subtotal gastrectomy or total gastrectomy, and 32 patients underwent open or laparoscopic subtotal gastrectomy or total gastrectomy, The baseline data were collected and the postoperative complications were analyzed by propensity score matching method. Results: The baseline data of the two groups were not statistically significant (P>0.05) after matching; The Clavien-Dindo grades before and after matching were statistically significant (P<0.05) between the two groups. The incidence of pleural infection and effusion before and after matching was greater than that of LG group (P<0.05) in the OG group; postoperative bleeding before and after matching showed that the incidence of OG group was greater than that of LG group (P<0.05); Visceral dysfunction before and after matching showed OG greater than LG group (P<0.05); There was no significant difference between the two groups before anastomotic fistula matching, LG group had a higher incidence than OG group after matching (P<0.05). Conclusion: LG has the advantage of less complication rate for radical gastrectomy than OG. It has good application prospect.

Key words： Gastric cancer Laparoscopic radical gastrectomy Open radical gastrectomy Postoperative complications

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WU Wentao
	YAO Tan
	WEI Kunpeng

Cite this article:

WU Wentao,YAO Tan,WEI Kunpeng. Comparison of Postoperative Complications between Laparoscopic and Open Radical Gastrectomy Based on Propensity Score Matching Method[J]. HeBei Med, 2021, 27(9): 1467-1471.

URL:

http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2021.09.014 OR http://www.hbyxzzs.cn/EN/Y2021/V27/I9/1467

[1] 王静雷,杨一兵,耿云霞,等.1990年至2017年中国胃癌发病、患病及死亡状况趋势分析[J].中国慢性病预防与控制,2020,28(5):321~325.
[2] 杨之洵,郑荣寿,张思维,等.中国胃癌发病趋势及预测[J].中国肿瘤,2019,28(5):321~326.
[3] 金鹏,杨浪,苏惠,等.高清胃镜下早期胃癌筛检策略初探[J].中华消化内镜杂志,2021,38(1):24~32.
[4] 梅刚.胃癌患者腹腔镜辅助全胃切除手术治疗的有效性及对患者预后的影响[J].实用癌症杂志,2021,36(2):316~318.
[5] 徐佳,周永贵.腹腔镜与开腹手术治疗早期胃癌的临床疗效和两年复发率对比评价[J].吉林医学,2021,42(3):710~712.
[6] Japanese gastric cancer treatment guidelines 2014 (ver.4)[J].Gastric Cancer,2017,20(1):1~19.
[7] 武四化,刘胜海,周飞.全腹腔镜远端胃癌根治术中B-Ⅱ+Braun与Uncut Roux-en-Y不同吻合方式的临床对比研究[J].临床外科杂志,2021,29(2):154~157.
[8] 陈杰,李政焰,季刚,等.腹腔镜与开腹胃癌根治术后并发症的Clavien-Dindo分级及危险因素分析[J].腹部外科,2020,33(1):34~41.
[9] 周洁,张晟,何书,等.使用R和Stata软件实现倾向性评分匹配[J].中国卫生统计,2018,35(4):628~632.
[10] 刘洪,王葆春,董天雄,等.腹腔镜手术与开放手术对老年胃癌患者疗效的倾向性评分匹配[J].中国老年学杂志,2020,40(15):3197~3199.
[11] 周胜,王林泉,赵旭东,等.腹腔镜胃穿孔修补术对胃穿孔的疗效及对患者胃电参数的影响[J].河北医学,2018,24(11):1862~1866.
[12] 周晓峰,杜华劲,高学健,等.结肠癌根治术后并发症的Clavien-Dindo分级及其危险因素分析[J].局解手术学杂志,2020,29(7):553~557.
[13] 陈秋贤,蔡丽生,方顺勇,等.腹腔镜胃癌根治性全胃切除术后外科并发症的Clavien-Dindo分级及危险因素分析[J].中国微创外科杂志,2017,17(2):120~125.
[14] 陈维,朱玮,吕成余.腹腔镜全胃切除胃癌根治术对进展期胃癌患者围术期指标及预后的影响[J].中国医学前沿杂志(电子版),2021,13(3):130~133.