摘要
目的:观察腹腔镜胃癌根治术的临床疗效及可行性。方法:对28例胃癌患者行腹腔镜胃癌根治术,其中行远端胃大部切除术20例,根治性近端胃大部切除术8例。结果:28例均成功完成腹腔镜胃癌根治手术。手术用时259±34分,术中失血量为256±47ml,清扫淋巴结20.6±7.6枚,术后肠道功能恢复时间为3.6±1.2天。术后住院时间13±5天。术后失访5例,余随访1～54个月,4例死亡,4例带瘤生存,其他未发现肿瘤复发或转移。结论:腹腔镜辅助胃癌根治术安全、可行;严格遵守肿瘤的手术原则,创伤小,安全性好,患者恢复快,近期疗效满意。
Objective：to observe the clinical efficacy of laparoscopic gastric cancer with and feasibility.Methods：twenty-eight patients with stomach cancer patients laparoscopic gastric cancer,of which line do with distal stomach most radical resection of the 20 cases,proximal stomach for most 8 cases.Results：all cases successfully complete 28 laparoscopic gastric cancer radical surgery.Surgery（259±34） for the min,intraoperative blood loss for（256±47）ml,cleaning the lymph nodes（20.6±7.6） pieces,bowel function after the recovery time for（3.6±1.2）d.Postoperative hospitalization time（13±5）d.After more than 5 cases were lost to follow-up,follow-up 1～54 months,4 cases of death,4 cases of survival with tumor,other did not find tumor recurrence or metastasis.Conclusion：laparoscopic gastric cancer and feasible with auxiliary safety;Strictly abide by the principle of tumor surgery,small trauma,good safety,patient restore fast,recent results are satisfied.
