腹腔镜胃癌根治术8例报告  

Laparoscopic radical gastrectomy for gastric cancer in 8 cases

作　　者：许军[1] 刘昶[1] 李清晨[1] 季力同[1] 金鑫[1] 

机构地区：[1]哈尔滨医科大学附属第四医院微创外科,哈尔滨150001

出　　处：《中国微创外科杂志》2007年第6期509-511,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的：探讨腹腔镜胃癌根治术的可行性。方法2005年2～4月行腹腔镜胃癌根治术8例，其中远端胃根治性切除6例，根治性全胃切除和近端胃根治性切除各1例。结果：8例均在腹腔镜下完成手术，无中转开腹手术。远端胃根治性切除术时间（340±62）min，近端胃根治性切除362min，全胃根治性切除423min。术中出血量：远端胃根治性切除术100～250ml，平均140ml；全胃根治性切除术300ml；近端胃根治性切除170ml，术中均未输血。清扫淋巴结18～37枚，平均23枚。无手术并发症。排气时间38～56h，平均42．4h；进流食时间2～5d，平均2．5d。8例术后随访12～14个月，无复发和转移。结论：早期及较早的进展期胃癌行腹腔镜根治手术是可行的。Objective To investigate the feasibility of laparoscopic radical gastrectomy for gastric cancer. Methods Laparoscopic radical gastrectomy was performed in 8 cases from Febrary 2005 to April 2005, including radical distal gastrectomy in 6 cases, radical total gastrectomy in 1 case, and radical proximal gastrectomy in 1 case. Results All the 8 patients underwent laparoscopic radical gastrectomy smoothly and no conversion to open surgery was required. The operation time was 340 ～ 62 minutes in radical distal gastrectomy, was 362 minutes in radical proximal gastrectomy, and 423 minutes in radical total gastrectomy. The intraoperative blood loss was 100 ～250 ml （mean, 140 ml） in radical distal gastrectomy, 300 ml in radical total gastrectomy, and 170 ml in radical proximal gastrectomy. No blood transfusion was needed. The number of havested lymph nodes was 18～ 37 （mean, 23 ）. No surgical-related complications occurred. The time to first flatus was 38～56 hours （mean, 42.4 hours） ,and the time to liquid diet was 2～ 5 days （mean, 2.5 days）. All the 8 cases were followed for 12～ 14 months postoperatively and no recurrence or metastasis was observed. Conclusions Laparoscopic radical gastrectomy is a feasible technique for patients with gastric cancer at early stage or early progressive stage.

关 键 词：腹腔镜 胃癌 根治术 

分 类 号：R735.2[医药卫生—肿瘤]