摘要
目的总结腹腔镜下胃大部切除术的可行性、方法及效果并探讨其临床价值。方法回顾分析2002年1月至2006年6月行完全腹腔镜治疗的胃良性病患者50例的临床资料(LG 组),并与同期104例开腹手术患者(OG 组)在平均手术时间、术中失血、术后平均住院日及并发症等方面进行比较。结果 50例 LG 组患者手术均在腹腔镜下顺利完成,平均手术时间105 min,平均出血50ml,平均住院时间7 d,术后2例发生切口感染,无其他严重并发症发生。OG 组平均手术时间118min,平均出血108 ml,平均住院时间12 d,其中7例发生切口感染,3例发生胃排空障碍,并且有1例发生吻合口瘘,1例发生术后肠梗阻。两组问术中出血和住院时间差异均有统计学意义(P<0.05)。结论腹腔镜下胃手术是一种安全适用的微创外科手术,具有手术时间短、出血少、创伤小、住院时间短的优点。
Objective To explore the feasibility, effect, and clinic value of total laparoscopic gastric resection in patients with benign gastric disease. Methods The clinical materials of 50 cases underwent total laparoscopic gastric resection （ LG group） and 104 cases open surgery （ OG group） between January 2002 and June 2006 were compared. The operation time, intraoperative blood loss, mean time of stay in hospital and postoperative complications were studied. Results All operations in LG group were successfully preformed with laparoscopic technique, and the mean operation time was 105 min, mean intraoperative blood loss was 50 ml, and mean hospital stay was 7 days. Incisional wound infection occurred in 2 cases and no serious complications occurred in this group. In OG group, the mean operation time was 118 rain, mean intraoperative blood loss was 108 ml, and mean hospital stay was 12 days. Wound infection occurred in 7 cases, disorder of gastric emptying was found in 3 cases, fistula of anastomotic stoma happened in 1 case and bowel obstruction occurred in 1 case. There was significant difference in operation blood loss and hospital stay between the two groups （ P 〈 0.05 ）. Conclusions Laparoscopic gastric resection is a safe and feasible minimally-invasive surgery, it brings less pain, less bleeding, shorter hospital stay.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2007年第19期1308-1310,共3页
Chinese Journal of Surgery
关键词
腹腔镜检查
胃良性病
Laparoscopy
Benign gastric diseases
