腹腔镜胃癌手术的路径  

Operation path of laparoscopy-assisted gastrectomy

作　　者：钱锋[1] 唐波[1] 余佩武[1] 郝迎学[1] 兰远志[1] 石彦[1] 赵永亮[1] 罗华星[1] 

机构地区：[1]第三军医大学西南医院普通外科微创胃肠外科中心,重庆400038

出　　处：《中华消化外科杂志》2010年第4期299-302,共4页Chinese Journal of Digestive Surgery

基　　金：全军十一五计划课题（06MB240）

摘　　要：手术路径、淋巴结清扫和消化道重建是腹腔镜胃癌手术的3大技术难点.腹腔镜下淋巴结清扫的范围和消化道重建的方式遵循传统胃癌开腹手术的基本原则,但手术路径两者却不尽相同,而这恰是初学者经常易忽视的问题.2004年5月至2010年4月,我科完成腹腔镜胃癌手术761例.我们通过不断探索,总结出一套合理、流畅的腹腔镜胃癌手术路径,现报道如下.The operation path, lymph node dissection and reconstruction of the alimentary tract are the three most technical difficulties of laparoscopy-assisted gastrectomy. The essential difference between laparoscopy-assisted gastrectomy and open gastrectomy is the operation path. Based on our clinical experience, we investigated reasonable paths for laparoscopyassisted gastrectomy. Patients were placed in a supine position with their legs apart, and the operator stood on the left side of the patient. Five trocars were placed in the abdominal wall in a curved line. The operation was carried out in the order of greater gastric curvature, the lower region of the pylorus and antrum,the upper region of the pancreas, omentum minus, cardia, and arcuate diaphragm. From May 2004 to April 2010, we successfully carried out 761 laparoscopy-assisted gastrectomies with satisfactory outcomes.

关 键 词：胃肿瘤 腹腔镜检查 手术路径 

分 类 号：R735.2[医药卫生—肿瘤]