摘要
目的探讨腹腔镜辅助下进展期胃癌根治术的可行性及疗效。方法对我院2009年12月~2011年5月收治的56例进展期胃癌于腹腔镜辅助下行根治术。结果 56例均顺利完成手术,无中转开腹病例。平均手术时间:根治性全胃切除术230 min,根治性近端胃大部切除术190 min,根治性远端胃大部切除术170 min;术中平均出血量:根治性全胃切除术130 ml,根治性近端胃大部切除术110 ml,根治性远端胃大部切除术120 ml。术后平均排气时间3.5 d,平均下床活动时间3.5 d。随访1~17个月,术后恢复良好,无近期并发症,无肿瘤的局部复发和Trocar种植转移。结论腹腔镜辅助下胃癌根治术治疗进展期胃癌疗效可靠,且具有良好的安全性。
Objective To explore the feasibility and safety of laparoscopic assisted radical gastrectomy for advanced gastric cancer.Methods All 56 patients with advanced gastric cancer receiving laparoscopic assisted gastretomy during December 2009 and May 2011 in our hospital.Results Laparoscopic assisted gastrectomy was performed successfully in all 56 patients.The average operation time for total gastrectomy was 230 min,while it was 190 min for proximal gastrectomy and 170 min for distal gastrectomy.The average blood loss was 130 ml in total gastrectomy,110 ml in proximal gastrectomy,and 120 ml in distal gastrectomy.The mean time for gastrointestinal function recovery was 3.5 d,and the mean time for out of bed activity was 3.5 d.All patients were followed up for 1 to 17 months.No operation complications were oberserved.No local rucurrence or Trocar implantation happened.Conclusion Laparoscopic assisted gastrectomy is a feasible and safe surgical procedure.
出处
《解放军医药杂志》
CAS
2012年第3期32-34,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army