[1]范显文,何二松,林昌荣,等.胃癌患者身体质量指数对腹腔镜术式选择及效果的影响[J].中国医学物理学杂志,2020,37(4):498-501.[doi:DOI:10.3969/j.issn.1005-202X.2020.04.018]
　FAN Xianwen,HE Ersong,LIN Changrong,et al.Effects of body mass index on the selection and efficacy of laparoscopic surgery in patients with gastric cancer[J].Chinese Journal of Medical Physics,2020,37(4):498-501.[doi:DOI:10.3969/j.issn.1005-202X.2020.04.018]
点击复制

胃癌患者身体质量指数对腹腔镜术式选择及效果的影响()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
37
期数:
2020年第4期
页码:
498-501
栏目:
医学生物物理
出版日期:
2020-04-29

文章信息/Info

Title:
Effects of body mass index on the selection and efficacy of laparoscopic surgery in patients with gastric cancer
文章编号:
1005-202X（2020）04-0498-04
作者:
范显文; 何二松; 林昌荣; 莫凯迪
广西壮族自治区江滨医院普外科， 广西 南宁 530021
Author(s):
FAN Xianwen;  HE Ersong;  LIN Changrong;  MO Kaidi
Department of General Surgery, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
关键词:
胃癌; 身体质量指数; 腹腔镜; 术式选择
Keywords:
Keywords: gastric cancer;  body mass index;  laparoscope;  selection of surgical procedure
分类号:
R735.2
DOI:
DOI:10.3969/j.issn.1005-202X.2020.04.018
文献标志码:
A
摘要:
目的：探讨不同身体质量指数（BMI）对胃癌患者腹腔镜术式选择及疗效的影响。方法：选择行腹腔镜胃癌根治术患者115例，根据患者BMI分为体型肥胖组（BMI>25 kg/m2，35例）和正常组（BMI 18.5~25.0 kg/m2，45例）、低体质量组（BMI<18.5 kg/m2，35例），其中肥胖组患者行腹腔镜辅助远端胃大部切除术（LADG）15例，近端胃大部切除术（LAPG）10例，全胃切除术（LATG）10例；正常组患者采用LADG术14例，LAPG术20例，LATG术11例；低体质量组采用LADG术10例，LAPG术15例，LATG术10例。观察3组患者的术后恢复效果及术后生存情况。结果：肥胖组手术时间较正常组、低体质量组明显延长，术中出血量较正常组、低体质量组增加，淋巴结清扫总数较正常组、低体质量组减少，差异均有统计学意义（P<0.05）。肥胖组术后住院时间较正常组、低体质量组显著延长（P<0.05）。正常组、低体质量组手术时间、术中出血量、淋巴结清扫总数、术后住院时间对比差异无统计学意义（P>0.05）。3组肿瘤直径、术后肛门首次排气时间和术后并发症总发生率差异无统计学意义（P>0.05）。3组患者总生存率和无进展生存率差异均无统计学意义（P>0.05）。结论：不同BMI胃癌患者行腹腔镜辅助LADG、LAPG和LATG根治术治疗，其中体型肥胖组患者较正常组、低体质量组手术时间长，术后恢复时间长，但并不影响术后并发症和预后。
Abstract:
Abstract: Objective To investigate the effects of the body mass indexes (BMI) of patients with gastric cancer on the selection and therapeutic effect of laparoscopic operation. Methods A total of 115 patients receiving laparoscopic radical gastrectomy were enrolled in the study. According to BMI, the patients were divided into 3 groups, namely obese group (BMI>25 kg/m2, n=35), normal group (BMI 18.5-25.0 kg/m2, n=45) and underweight group (BMI<18.5 kg/m2, n=35). There were 15 cases of laparoscopy-assisted distal gastrictomy (LADG), 10 cases of laparoscopy-assisted proximal gastrictomy (LAPG) and 10 cases of laparoscopy-assisted total gastrectomy (LATG) in obese group, 14 cases of LADG, 20 cases of LAPG and 11 cases of LATG in normal group, and 10 cases of LADG, 15 cases of LAPG and 10 cases of LATG in underweight group. The postoperative recovery and postoperative survival in 3 groups were analyzed. Results Compared with those in normal group and underweight group, the operative time in obese group was significantly longer, and the intraoperative blood loss was increased, and the total number of dissected lymph nodes was decreased, with statistical differences (P<0.05). Moreover, the length of postoperative hospital stay in obese group was significantly longer than that in normal group and underweight group (P<0.05). No statistical difference was found in operative time, intraoperative blood loss, the total number of dissected lymph nodes and postoperative hospital stay between normal group and underweight group (P>0.05). Moreover, there were no statistically significant differences among 3 groups in tumor diameter, postoperative first anal exhaust time and the overall incidence of postoperative complications, overall survival rate and progression-free survival rate (P>0.05). Conclusion Among the gastric cancer patients with different BMI who were treated with LADG, LAPG and LATG, the patients in obese group has longer operative time and postoperative recovery time than those in normal group and underweight group, but BMI has trivial effects on postoperative complications and prognosis.

相似文献/References:

[1]易伟松,刘文强,陆 东,等.高光谱成像结合化学计量学诊断胃癌组织[J].中国医学物理学杂志,2015,32(01):124.[doi:10.3969/j.issn.1005-202X.2015.01.028]
[2]宋威,赵迪,鹿红,等.胃癌术后调强放疗射野角度优化的剂量学[J].中国医学物理学杂志,2015,32(06):815.[doi:doi:10.3969/j.issn.1005-202X.2015.06.012]
　[J].Chinese Journal of Medical Physics,2015,32(4):815.[doi:doi:10.3969/j.issn.1005-202X.2015.06.012]
[3]易伟松,钱辉跃,江厚敏.光纤和显微拉曼光谱结合化学计量学鉴别胃癌组织[J].中国医学物理学杂志,2016,33(2):134.[doi:10.3969/j.issn.1005-202X.2016.02.006]
[4]卢晓光,刘细友,郑言宏,等.胃癌术后不同IMRT布野方式对剂量分布的影响[J].中国医学物理学杂志,2016,33(7):664.[doi:10.3969/j.issn.1005-202X.2016.07.004]
[5]刘光波,刘志坤,闫慧娟,等.不同照射技术在全胃癌放疗中的剂量学比较与分析[J].中国医学物理学杂志,2016,33(11):1111.[doi:10.3969/j.issn.1005-202X.2016.11.006]
　[J].Chinese Journal of Medical Physics,2016,33(4):1111.[doi:10.3969/j.issn.1005-202X.2016.11.006]
[6]蒋大振,刘晖,戴静,等. 胃癌调强放疗中多叶光栅3种状态的剂量学比较[J].中国医学物理学杂志,2019,36(2):166.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.009]
　JIANG Dazhen,LIU Hui,DAI Jing,et al. Dosimetric comparison among split-field, fixed-jaw and rotating multi-leaf collimator in the radiotherapy of gastric carcinoma[J].Chinese Journal of Medical Physics,2019,36(4):166.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.009]
[7]胡志纲,刘勇强,任建,等.胃癌术后不同布野方案对调强放疗剂量分布的影响[J].中国医学物理学杂志,2019,36(12):1400.[doi:DOI:10.3969/j.issn.1005-202X.2019.12.007]
　HU Zhigang,LIU Yongqiang,REN Jian,et al.Effects of different field arrangements on the dose distribution of postoperative intensity-modulated radiotherapy for gastric cancer[J].Chinese Journal of Medical Physics,2019,36(4):1400.[doi:DOI:10.3969/j.issn.1005-202X.2019.12.007]
[8]赵呈陆,方志军,高永彬,等.基于改进型V-net卷积神经网络的胃壁分割方法[J].中国医学物理学杂志,2021,38(10):1243.[doi:DOI:10.3969/j.issn.1005-202X.2021.10.011]
　ZHAO Chenglu,FANG Zhijun,GAO Yongbin,et al.Gastric wall segmentation based on improved V-net convolutional neural network[J].Chinese Journal of Medical Physics,2021,38(4):1243.[doi:DOI:10.3969/j.issn.1005-202X.2021.10.011]
[9]张育,赵轶峰,苏卓彬,等.基于卷积神经网络的胃癌癌前病变图像分类方法[J].中国医学物理学杂志,2022,39(2):209.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.014]
　ZHANG Yu,ZHAO Yifeng,SU Zhuobin,et al.Image classification of gastric precancerous lesions based on convolutional neural network[J].Chinese Journal of Medical Physics,2022,39(4):209.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.014]
[10]周意龙,卫子然,蔡清萍,等.基于卷积神经网络胃癌分割与T分期算法[J].中国医学物理学杂志,2022,39(2):215.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.015]
　ZHOU Yilong,WEI Ziran,CAI Qingping,et al.Gastric cancer segmentation and T staging algorithm based on convolutional neural network[J].Chinese Journal of Medical Physics,2022,39(4):215.[doi:DOI:10.3969/j.issn.1005-202X.2022.02.015]

备注/Memo

备注/Memo:
【收稿日期】2019-10-14 【基金项目】梧州市科学研究与计划开发项目（201702043） 【作者简介】范显文，副主任医师，研究方向：胃肠外科，E-mail: momo666better@163.com
更新日期/Last Update: 2020-04-29