腹腔镜胃肠手术92例临床研究

Clinical Research on 92 Cases of Laparoscopic Gastrointestinal Surgery

目的：探讨腹腔镜辅助胃肠手术的安全性及可行性。方法：回顾性分析2010年3月-2013年4月本院行腹腔镜胃肠手术的92例患者的临床资料，分析其手术情况及术后生存率。结果：72例顺利完成腹腔镜辅助胃肠切除手术，中转开腹20例（21.74%），无手术死亡病例；72例腹腔镜胃肠切除手术中根治性切除56例、姑息性切除16例；手术出血量中位数148 mL（20-870 mL），手术时间（4.7±0.9）h，术后胃肠道功能恢复时间（3.2±1.8）d，术后住院时间（14.3±7.2）d；术后并发症20例（21.7%）；术后随访1-38个月，中位数12个月，5例失访；术后死亡4例，总生存率94.03%（63/67）。结论：腹腔镜辅助胃肠手术在临床上是安全可行的，值得应用推广。

Objective：To evaluate the feasibility and safety of laparoscopic-assisted gastrointestinal surgery. Method：92 cases of laparoscopic gastrectomy were performed on from March 2012 to April 2013,analyzed their operation and postoperative survival rate Result：Laparoscopic procedure was completed successfully in 72 patients,the other 20（21.74%）cases were converted to open surgery;no operative deaths. Among the 72 cases, 56 received radical gastrectomy and 16 underwent palliative gastrectomy. The median blood loss was 148 mL（20~870 mL）,and mean operation time was（4.7±0.9）h,gastrointestinal function recovered in（3.2±1.8）days after the operation,they were discharged from hospital in（14.3±7.2）days. Conclusion：Laparoscopic-assisted gastrointestinal surgery is feasible and safe,and worthy being applied and promoted in clinic to improve qualities of life of patients.