腹腔镜辅助下胃切除术

Laparoscopic gastrectomy

目的 探讨腹腔镜胃切除术的临床应用价值。 方法 2 0 0 0年 8月～ 2 0 0 1年 4月应用腹腔镜辅助胃切除术治疗胃疾病 18例 ,年龄 2 8～ 87岁 ,其中胃大部分切除Billroth -Ⅰ式吻合术 1例 ,胃大部分切除Billroth -Ⅱ式吻合术 7例 ,根治性胃近端切除术 3例 ,根治性胃远端切除术 4例 ,全胃切除术 3例。 结果 本组无中转开腹手术 ,手术时间 15 0min～ 340min ,出血 2 0ml～ 12 0ml,术后平均住院时间 8天 ,无手术并发症。胃肠功能恢复快 ,无手术死亡发生。 结论 腹腔镜胃切除术是安全、有效、切实可行的。

Ojective To evaluate the value of laparoscopic gastrectomy in the management of gastric diseases. Methods 18 laparoscopic gastric operation were performed in our hospital from August 2000 to April 2001. The ages of the patients ranged from 28 to 87 years. One patient received Billroth-Ⅰ gastrectomy, 7 Billroth-Ⅱ gastrectomy, 3 proximal subtotal gastrectomy, 4 distal subtotal gastrectomy and 3 total gastrectomy. Results All the operations were successfull, the duration of operation was 150～340min, the estimated blood loss was 20～120ml, and the average postoperative hospitalized days were 8 days. All patients recovered quickly without any postoperative complication. Flatus was present quickly. no death occurred in all the patients. Conclusions Laparoscopic gastrectomy is an effective and safe technique for the manaqement of gastric disease, if used properly.