摘要
目的评价腹腔镜胃癌根治术中联合应用超声刀及单极电凝的效果。方法回顾分析2010年1月～2011年3月75例腹腔镜胃癌D2根治术的临床资料,前39例单纯使用超声刀(超声刀组),后36例联合应用超声刀与单极电凝(联合组)。比较2组手术时间、术中出血量、平均清扫淋巴结个数、术后引流量及术后并发症方面的差异。结果与超声刀组相比,联合组术中出血少[(274±122)ml vs.(186±90)ml,t=3.530,P=0.000],手术时间短[(347±38)min vs.(310±23)min,t=5.049,P=0.000],2组清扫淋巴结个数、术后引流量及并发症发生率差异无显著性(P>0.05)。结论超声刀与单极电凝联合应用于腹腔镜胃癌根治术,能够充分发挥两种器械的优势,缩短手术时间,减少术中出血,利于淋巴清扫。
Objective To evaluate the outcome of ultrasonic scalpel combined with monopolar electrocoagulation in laparoscopic-assisted radical gastrectomy for gastric carcinoma. Methods From January 201,3 to March 2011, 75 patients with curable gastric carcinoma underwent laparoscopic-assisted radical gastrectomy, of which 39 patients were treated solely by ultrasonic scalpel, the other 36 patients underwent ultrasonic scalpel combined with monopolar electracoagulation. The operation time, intraoperative blood loss, number of resected lymph nodes, and postoperative drainage volume and complications were analyzed retrospectively and compared between the two groups. Results The mean operation time and blood loss of ultrasonic scalpel group were significantly more than that in the study group [（347 ±38） min vs. （310±23） min, t=5.049, P=0. O00, and （274 ±122） ml vs. （186 ± 90） ml, t = 3. 530, P = 0. 000]. The number of harvested lymph nodes, postoperative drainage volume and the incidence rate of complications were comparable between the two groups （P 〉 0.05）. Conclusion By combining ultrasonic scalpel with monopolar eleetrocoagulation in laparoscopic-assisted radical gastrectomy for gastric carcinoma, the advantages of the both methods can be utilized so that to reduce operation time and blood loss,and make lymph nodes resection easier.
出处
《中国微创外科杂志》
CSCD
2011年第12期1079-1081,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜手术
胃癌
超声刀
单极电凝
Laparoscopic surgery
Gastric carcinoma
Ultrasonic scalpel
Monopolar electrocoagulation
