摘要
目的 :探讨腹腔镜胃大部切除术的方法及优缺点。方法 :为 15例患者行腹腔镜胃部分切除术。结果 :15例均成功完成手术 ,行B -Ⅱ式胃大部分切除术 12例 ,其中 1例术中切断胃体时因切割器故障中转开腹 ;胃局部楔形切除 1例 ;胃恶性肿瘤根治切除 2例。手术时间 2 10 5min(14 0~ 2 80min)术中平均出血10 0ml。无并发症发生 ,术后 7 8(5~ 10d)出院。胃恶性肿瘤术后随访 1~ 12月 ,无复发转移。结论 :腹腔镜胃切除术患者安全 ,创伤小 。
Objective:To explore the approach, advantage and disadvantage of laparoscopic surgery for gastric diseases.Methods:15 cases were performed laparoscopic gastric resection operations. Results:All 15 cases were successfully done. The procedures involved in Billroth II gastrectomy (n=12), proximal subtotal gastrectomy (n=2),resection of gastric submucosal benign tumor(n=1). The average operative time was 210.5 (140~280)min, the mean estimated blood loss was 100 ml, the hospitalization stay were 7.8 days. Two patients had laparoscopic surgery for gastric cancar, were followed up for 1~12 months. No paitient required conversion to open laparotomy. There were no complication. Conclusions:Based on these preliminary results, we believe that laparoscopic gastric resection operations for selected cases can be carried out safely and effectively with decreased postoperative pain and rapid recovery.
出处
《腹腔镜外科杂志》
2002年第1期42-44,共3页
Journal of Laparoscopic Surgery
关键词
腹腔镜
胃切除术
胃溃疡
胃肿瘤
Laparoscopy
Gastrectomg
Stomach wker
Stomach neoplasms