腹腔镜对比开腹手术治疗新辅助化疗后进展期胃癌近期疗效的Meta分析
Short‑term efficacy of laparoscopic gastrectomy versus open gastrectomy for advanced gastric cancer after neoadjuvant chemotherapy: a Meta-analysis
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摘要: 腹腔镜胃癌根治术治疗早期胃癌获得广泛认可,对进展期胃癌的安全性及可行性也已经得到临床验证,在术中出血、术后恢复方面较开腹手术有优势。新辅助化疗能够降低肿瘤分期,使进展期胃癌病人获得手术机会,进而改善病人预后。新辅助化疗后进展期胃癌病人可否行腹腔镜手术是目前胃癌外科学者面临的一个全新问题。笔者查阅国内外相关文献,采用Meta分析评价腹腔镜对比开腹手术治疗新辅助化疗后进展期胃癌的近期疗效。Abstract: Laparoscopic gastrectomy (LG) has been proven to be safe and feasible and widely used in surgical treatment of early and advanced gastric cancer (AGC), which has advantages over open gastrectomy in intraoperative bleeding and postoperative recovery. Neoadjuvant chemo-therapy (NACT) could achieve the effect of tumor downstaging and provide more surgical treatment chances for patients with AGC, thus improving their prognosis. Feasibility of LG for patients with AGC after NACT is a crucial problem for surgeons. The authors review the relevant studies and conducte a Meta-analysis to evaluate the short-term efficacy of laparoscopic versus open gastrec-tomy in the treatment of AGC after NACT.