摘要
目的总结腹腔镜胃癌根治术的临床经验,探讨此方法在临床中的手术方式并对治疗后相关并发症进行分析.方法回顾性分析2007年6月至2012年1月昆明医科大学第二附属医院普通外科收治的102例经腹腔镜手术治疗的胃癌患者临床资料.结果 102例患者中,94例患者顺利完成手术,占总患者数比例为92.16%,其中有3例患者因大出血于第2天行开放手术治疗康复;另有4例患者术后感染经用药后治愈,占总患者数3.92%;有3例患者行中转开腹手术,占总患者数2.94%;1例患者皮下气肿,经治疗后次日消失.结论腹腔镜胃癌根治术关键之一是选择胃浆膜小面积浸润的进展期胃癌和早期胃癌的患者,较为安全可行的方法是在腹腔镜辅助下实施D2胃癌根治术.
Objective To explore the clinical application value and effect of laparoscopic radical gastrectomy for gastric cancer,and study the operative method and complications of laparoscopic operation.Method The clinical data of 102 gastric cancer patients who received laparoscopic operation were analyzed retrospectively from June,2007 to January,2012.Results In 102 patients with gastric cancer,94（92.16%） patients underwent the laparoscopic operation successfully.3 patients were converted to open surgery next day.3 patients received open surgical treatment and cured on the next day because of bleeding,4（3.92%） patients were given medication and cured because of postoperative infection,3（2.94%） patients underwent conversion to open surgery,1 patients with subcutaneous emphysema and the symptom disappeared after treatment the next day.Conclusions Case selection is the key to the success of laparoscopic radical gastrectomy.For early gastric cancer and advanced gastric cancer patients with small area of infiltration of the gastric serosa,D2 radical gastrectomy with laparoscopic operation assisted is a feasible and safe treatment.
出处
《昆明医科大学学报》
CAS
2013年第1期86-88,共3页
Journal of Kunming Medical University
基金
云南省中青年学术带头人后备人才基金资助项目(2009CI034)
