手辅助腹腔镜胃癌根治性切除术的可行性及临床效果

Feasibility and clinical effect of hand assisted laparoscopic radical resection

目的：对手辅助腹腔镜胃癌根治性切除术的可行性及临床治疗进行分析与探讨。方法选取30例2011年4月-2013年4月在本院接受全胃切除术的胃癌患者,对其临床资料进行回顾性分析。结果30例胃癌患者均实施了手辅助腹腔镜胃癌根治性切除术。患者上腹部手术切口平均长度为（6.79±1.3）cm,平均手术时间为（168±19）min,平均腹腔镜手术时间为（31±11）min,实施手术过程中,患者出血量平均为（228.57±32.1）ml,平均清扫（17.64±4.1）枚淋巴结,患者平均出院时间为手术治疗后的（1.5±9）d。所有患者均未发生切口感染、出血以及吻合口漏等手术并发症。结论研究表明,手辅助腹腔镜胃癌根治性切除术在清扫淋巴结数目与范围上均可以达到胃癌术操作要求,具有非常好的治疗安全性,值得临床应用与推广。

Objective To analyze and discusse the feasibility and clinical treatment of hand assisted laparoscopic radical resection. Methods Selected 30 patients who received total gastrectomy for gastric cancer patients in our hospital from April 2011 to April 2013, the clinical data were retrospectively analyzed. Results Of 30 gastric cancer patients underwent radical resection of hand assisted laparoscopic gastric cancer. The average length of patients with abdominal operation incision was （6.79±1.3） cm, the mean operation time was （168 ± 19） min, the mean operation time for laparoscopic surgery （31±11） min, the process of the implementation of operation, bleeding volume averaged （228.57±32.1） ml, （17.64±4.1） average dissection of lymph node, average discharge time for operation after treatment （1.5±9） d. All patients had no infection, hemorrhage and the operation complications such as anastomotic leakage. Conclusion Hand assisted laparoscopic radical resection for gastric cancer can reach the gastric cancer operation requirements on the number of lymph node and scope, with safety in the treatment of very good, worthy of clinical application and promotion.