腹腔镜胃窦癌根治术13例报告  

Laparoscopic radical gastrectomy for gastric antrum cancer in 13 cases

作　　者：郭志刚 陈宏[1] 孙强[1] 胡泽民[1] 余元龙[1] 

机构地区：[1]中山大学附属中山医院普外一科,广东中山528403

出　　处：《现代肿瘤医学》2009年第10期1950-1951,共2页Journal of Modern Oncology

基　　金：中山市科技局基金资助项目(B200755)

摘　　要：目的:探讨腹腔镜辅助下胃癌根治术的安全性及可行性。方法:对2007年11月至2008年10月期间完成的13例腹腔镜辅助胃窦癌根治术的临床资料进行回顾性分析。结果:13例患者全部在腹腔镜下成功完成手术,手术时间平均为206min。所有标本经病理检查切缘均为阴性,平均每个患者清扫淋巴结13.3枚,术后患者排气时间平均为74.6h,患者下床活动时间平均为69.2h,术后人均镇痛次数为0.77次。未出现吻合口漏、腹腔内出血、消化道出血、肺部感染、切口感染或裂开及切口种植等并发症。结论:使用腹腔镜辅以小切口完成胃癌根治手术,患者痛苦小、恢复快、疗效好。Objective： To investigate the feasibility and safeness of laparoscopic radical gastrectomy for gastric antrum cancer. Methods：Clinical data of 13 patients who received laparoscopic - assisted radical gastrectomy for gastric antrum cancer were collected and analyzed restrospectively. Results： All of the 13 patients underwent laparoscopic radical gastrectomy smoothly and no conversion to open surgery was required. The mean operation time was 206 min. Through pathological test,incisal edge of all sample was negative The mean number of havested lymph nodes was 13.3. The mean time of venting was 74.6 h. The mean time of getting out of bed was 69.2 h. The mean time of analgesia was 0.77. There was no stomal leak, intraabdominal hemorrhage, alimentary tract hemorrhage, pulmonary infection, postoperative infection, fissuration of cut and implantation in incising. Conclusions：Less distress, rapidly recovery and better therapeutic effect are the advantages of Laparoscopic radical gastrectomy for patients with gastric cancer.

关 键 词：腹腔镜 根治性胃切除 胃窦癌 

分 类 号：R735.2[医药卫生—肿瘤]