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Lancet Gastroen Hepatol:LADG vs ODG治疗早期胃癌

2019-11-20 MedSci MedSci原创

腹腔镜辅助胃切除术治疗I期胃癌的效果非劣于开放胃切除术

腹腔镜辅助切除术(LADG)越来越多地代替开放切除术(ODG)用于胃癌的治疗。近日研究人员比较了LADG与ODG后患者长期生存率的差异。

本次研究为III期,非劣性研究,20-80岁的组织学确诊胃腺癌(T1N0, T1N1或T2[MP]N0)患者参与。患者随机接受ODG或LADG,研究的主要终点为无进展生存。

921名患者参与研究,接受ODG (n=459)或 LADG (n=462)。ODG组5年无进展生存率为94.0%,LADG组为95.1%,达到非劣性终点(HR=0.84)。最常见的3-4级不良事件为肠梗阻(2% vs 1%),未发生治疗导致的患者死亡。

研究认为,腹腔镜辅助胃切除术治疗I期胃癌的效果非劣于开放胃切除术。

原始出处:


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    2020-08-15 bnjfy
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    2020-04-08 howi
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    2020-08-25 许安
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    2019-11-22 gwc384
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