腹腔镜辅助胃癌切除术治疗胃癌的效果观察

Effect observation of laparoscopic assisted resection of gastric cancer in the treatment for gastric cancer

目的分析腹腔镜辅助胃癌切除术治疗胃癌的效果，以探讨其安全性和可行性。方法选取2009年1月～2010年4月本院收治的35例行腹腔镜辅助胃癌切除术患者，将其临床资料进行回顾性分析。结果TNM分期：I期6例、Ⅱ期18例、Ⅲ期11例；腹腔镜下行胃切除术及淋巴结清扫，全胃切除术8例，远端胃次全切除术12例，近端胃次全切除术15例。所有患者完成腹腔镜辅助胃癌根治术，无手术死亡病例：手术时间（300±42）min．术中出血量（178±53）ml，切口长度（3．6±1．3）cm，清扫淋巴结（21．0±6．5）个，术后住院时间（12．5±5．6）d，术后2年无瘤生存率为91．43％。结论腹腔镜辅助胃癌切除术安全可行，值得推广应用。

Objective To analyze effect of laparoscopy assisting resection of gastric cancer in the treatment for gastric cancer in order to study its safety and feasibility.Methods Datas of 35 cases with gastric cancer in our hospital from January 2009 to April 2010 were selected and retrospectively analysed.Results The stage of TNM： Ⅰ stage was 6 cases, Ⅱ stage was 18 eases, UI stage was 11 cases.The resection of gastric cancer and lymph node dissection were made by laparoscopy,8 cases were given the surgery of total gastrectomy,12 cases were given the surgery of distal subtotal gas- trectomy,15 cases were given the surgery of proximal subtotal gastreetomy.All cases had done the radical operation for carcinoma of stomach assisted by laparoseopy,and no one case was death.The time of operation was （300±42） min,the bleeding volume during operation was （178±53） ml,the length of incision was （3.6±1.3） cm,the number of lymph node dissection was（21.0±6.5）,the postoperative hospital stay was（12.5±5.6） d.All patients were followed up after surgery and 2-year survival rate after surgery was 91.43%. Conclusion The laparoscopy assisting resection of gastric cancer is safe and feasible which should be applied in clinic.