完全腹腔镜胃癌根治术的临床研究  

Clinical research of totally laparoscopic radical gastrectomy for gastric cancer

作　　者：陈灵华[1] 牟一平[1] 徐晓武[1] 陈钶[1] 周育成[1] 

机构地区：[1]浙江大学医学院附属邵逸夫医院,浙江杭州310016

出　　处：《腹腔镜外科杂志》2011年第4期258-261,共4页Journal of Laparoscopic Surgery

基　　金：浙江省教育厅科研项目(编号:Y200803722)

摘　　要：目的:总结完全腹腔镜胃癌根治术的临床经验。方法:回顾分析行完全腹腔镜胃癌根治术45例患者的临床资料,并随访。结果:45例手术均顺利完成,无中转开腹或腹腔镜辅助手术。手术时间平均(300.0±79.1)min;术中出血平均(208.3±137.1)ml;平均清扫淋巴结(29.9±8.2)枚;术后肛门排气时间平均(3.8±1.1)d,术后平均住院(9.08±3.3)d。结论:完全腹腔镜胃癌根治术安全、可行,能达到肿瘤根治的要求,具有患者创伤小、出血少、康复快等优点。Objective：To summary the experience of totally laparoscopic radical gastrectomy for gastric cancer.Methods：Clinical data of 45 cases who suffered from gastric cancer and received total laparoscopic radical gastrectomy were analyzed retrospectively.Results：All patients underwent total laparoscopic gastrectomy successfully,without conversion to laparotomy or laparoscopic-assisted surgery.The average operative time was（300.0±79.1）min,blood loss was（208.3±137.1）ml,number of dissected lymph nodes was（29.9±8.2）,time of the first flatus was（3.8±1.1）d and postoperative hospital stay was（9.08±3.3）d.Conclusions：The total laparoscopic gastrectomy for gastric cancer is a safe,feasible and radical procedure.It has the advantages of minimal invasion,faster recovery,less blood loss and shorter hospital stay.

关 键 词：胃肿瘤 胃切除术 腹腔镜检查 

分 类 号：R735.2[医药卫生—肿瘤]