摘要
目的:总结腹腔镜胃癌根治术开展初期的临床资料。方法:回顾分析21例腹腔镜远端胃癌根治术的经验。D1/D1+α或β/D2淋巴结清扫18例,其中毕Ⅰ式胃肠吻合11例,毕Ⅱ式7例;中转开腹姑息性手术3例。结果:本组无手术死亡病例,手术时间150～230min,标本远近切缘均无癌细胞残留,清扫淋巴结数11～32个。术后1～3d恢复胃肠功能,无手术并发症发生。结论:腹腔镜胃癌根治术安全可行,近期疗效达到或好于开放手术。手术成功的关键是血管处理、淋巴结清扫和结肠系膜前叶剥除。
Objective：To Summarize the early experience of laparoscopy in radical treatment for gastric cancer. Methods：The clinical data of 21 gastric cancer patients underwent laparoseopie surgery were analyzed retrospectively, 18 cases underwent lymph node dissection to D1/D1 ＋ α or β D2,11 cases received gastrointestinal anastomosis Billroth Ⅰ ,7 eases received Billroth Ⅱ , and 3 cases were converted to open palliative operation. Results：No patient died in this series. The operation stay was 150 to 230min. No cancer was found in the distal and subterminal cutting margin of the specimens. The number of lymph nodes excised was 11 to 32. The time of bowel function recovering was 1-3 days after operation. No complication oeeured. Conclusions：The operation of radical treatment of gastric cancer with laparoscopy is safe and feasible, and its therapeutic effect is equal or better than open operation in the near future. It is critical to deal with vessels, clean lymph nodes and divest the anterior lobe of mesocolon.
出处
《腹腔镜外科杂志》
2008年第6期489-491,共3页
Journal of Laparoscopic Surgery
关键词
胃肿瘤
胃切除术
腹腔镜术
Stomach neoplasms
Gastreetomy
Laparoscopy
