基层医院开展腹腔镜胃手术的应用体会  

The application of laparoscopic surgery in gastric diseases in primary hospital

作　　者：黄尚进 

机构地区：[1]夹江县人民医院,四川夹江614100

出　　处：《腹腔镜外科杂志》2010年第3期175-176,共2页Journal of Laparoscopic Surgery

摘　　要：目的：探讨基层医院应用腹腔镜手术治疗胃疾病的可行性与手术方法，并评估其临床应用价值。方法：回顾分析2006年1月至2009年6月为20例胃疾病患者行腹腔镜手术的临床资料。结果：19例腹腔镜手术获成功，1例胃穿孔患者快速病理示恶变遂中转开腹，无肠粘连、残端漏等并发症发生。手术平均时间（203．2±52．5）min，术中平均出血（235．6±95．7）ml，术后平均住院（8．0±1．6）d。随访3～24个月，患者均恢复良好。结论：腹腔镜胃手术定位准确，安全、可靠，患者创伤小，康复快，疗效确切，尤其适于早期胃癌及胃良性疾病者。Objective： To investigate the feasibility and operative methods of laparoscopic operation in treatment of stomach disease in primary hospital. Methods： The clinical data of 20 patients who were diagnosed as gastric diseases and underwent laparoscopic surgery from Jan. 2006 to Jun. 2009 were retrospectively analyzed. Results ： Nineteen cases of laparoseopic operations were successful. 1 patient with perforation was converted to open surgery because of canceration proved by rapid pathologic examination. No complications occurred such as intestinal adhesion or stump leakage. The mean operative time was （203.2 ± 52.5 ）min, the mean intraoperative blood loss was （ 235.6 ± 95.7 ） ml, the mean postoperative hospital stay was （ 8.0± 1.6 ） d. The follow up was 3-24 months, all of patients recovered well. Conclusions ： Laparoscopic gastric operation is a safe and reliable method in treating early gastric cancer and some benign gastric diseases. It is of less trauma, quick recovery, accurate localization and satisfactory therapeutic effect.

关 键 词：胃疾病 胃肿瘤 腹腔镜检查 

分 类 号：R656.6[医药卫生—外科学]