双源CT腹腔血管重建在腹腔镜胃癌根治术中的应用价值

Application of dual-source CT angiography in laparoscopic radical gastrectomy

目的:探讨双源CT腹腔血管重建在腹腔镜胃癌根治术中的应用价值。方法:选取66例腹腔镜胃癌手术患者,其中Ⅰ组36例患者术前行双源CT三维腹腔血管重建,Ⅱ组30例患者术前未行双源CT三维腹腔血管重建,比较两组患者的手术时间、术中出血量、术中淋巴结清除个数、术后并发症以及住院时间。结果:Ⅰ组手术时间比Ⅱ组明显缩短,差异有统计学意义(P<0.05);两组患者术中失血量、淋巴结清除总数、术后并发症发生率、住院天数比较,差异均无统计学意义(P>0.05)。结论:腹腔镜胃癌根治术前行双源CT腹腔血管三维重建检查能够明显缩短手术时间,对腹腔镜进展期胃癌根治术具有重要的指导意义。

Objective： To discuss the application of dual-source CT angiography in laparoscopic radical gastrectomy. Methods： 66 patients underwent laparoscopic radical gastrectomy were col- lected. Group I （36 cases） were performed the dual-source CT three-dimensional celiac vascular remodeling before laparoscopic radical gastrectomy. Group II （30 cases） didn＇t undergo vascular remodeling before the surgery. The operation time, loss of blood, total numbers of cleared lymph nodes, postoperative complication rates and hospitalization days were compared. Results： The op- eration time of Group I was shorter than Group Ⅱ （P 〈 0.05）. There was no statistical significance of loss of blood, total numbers of cleared lymph nodes, postoperative complication rates and hospitalization days in two groups （P 〉 0.05 ）. Conclusion ： Dual-source CT three-dimensional celiac vascular remodeling before operation could shorten the operation time, and has an important guiding significance for laparoscopic radical gastrectomy.