腹腔镜远端胃癌根治术18例报道

Laparoscopic-Assisted Radical Gastrectomy in Distant Gastric Cancer(Report of 18 Cases)

目的探讨腹腔镜远端胃癌根治术的安全性及可行性。方法回顾性分析我院2007年6月至2009年5月期间收治的18例进展期胃癌患者行腹腔镜远端胃癌根治术的临床资料。结果18例患者均成功进行腹腔镜手术,无中转开腹。手术时间平均为（291.33±19.61）min,术中出血量平均为（151.32±71.78）ml,清扫淋巴结平均为（14.57±3.11）枚。术后患者肛门排气时间平均为（3.46±0.93）d,下床活动时间平均为（1.75±0.45）d,术后效果良好,无近期并发症发生。术后所有患者均获随访,随访时间1~24个月,中位随访时间11个月,患者目前均无肿瘤局部复发、Trocar种植和远处转移出现。结论腹腔镜远端胃癌根治术在胃癌患者围手术期体现出微创、恢复较快等优点,可行性好。

Objective To investigate the feasibility and safety of laparoscopic-assisted gastrectomy for distant gastric cancer.Methods All 18 patients with distant gastric cancer receiving laparoscopic-assisted gastrectomy were analyzed.Results Laparoscopic-assisted distal gastrectomy was performed successfully in all patients.The mean operation time was（291.33±19.61） min.The mean blood loss was（151.32±71.78） ml.The mean numbers of harvested lymph node were 14.57±3.11.The mean time of gastrointestinal function recovery was（3.46±0.93） d,the mean out of bed activity time was（1.75±0.45） d.All patients were followed up for 1-24 months,mean 11 months.No local recurrence,trocar implant or distant metastasis happened.Conclusion Laparoscopic-assisted gastrectomy is a feasible and safe surgical procedure combined with minimal trauma and fast recovery.