改良腹腔镜辅助下远端胃癌根治术17例报告

Modified laparoscopy-assisted radical distal gastrectomy for gastric cancer:a report of 17 cases

目的：探讨改良腹腔镜辅助下远端胃癌根治术的手术方法及可行性，方法：回顾分析17例患者行改良腹腔镜远端胃癌根治术的临床资料。结果：17例均顺利完成腹腔镜手术，无中转开腹。平均手术时间205min（180—250min），平均出血120ml（80—170ml），平均下床活动时间51h（41—60h），平均排气时间74h（58～90h），平均住院时间9d（7-16d）。术后发生并发症2例，均经保守治疗治愈。结论：改良辅助下胃癌根治术在保留腹腔镜手术微创优点的同时减少了腹腔镜下的操作步骤，降低了腹腔镜胃癌根治术的手术难度，具有较好的，临床应用价值。

Objective ：To explore the method and feasibility of modified laparoscopy-assisted radical distal gastrectomy for gastric cancer. Methods ：The data of 17 cases who underwent modified laparoscopy-assisted radical distal gastrectomy for gastric cancer were analyzed retrospectively. Results：All cases were performed the laparoscopic procedure successfully. No conversion to open surgery occurred. The mean operative time was 205min （180-250min） and the average blood loss was 120ml （80-170ml）. The mean time for out- of-bed aetivlty was 51 h（41-60h）and the bowl function returned of 74h （58-90h） after operation on average. Postoperative complications were encountered in 2 eases, but no patient required surgical reintervention. Conclusions ： The technique described in this study provides the advantages of laparoscopic surgery and decreases the difficulty of laparoscopie gastrectomy for gastric cancer, and is likely to be expanded in the future