手助腹腔镜胃癌根治术2例报道  

Two Cases Reports of Hand-Assisted Laparoscopic Radical Gastrectomy for Gastric Cancer

作　　者：胡建昆[1] 杨昆[1] 陈心足[1] 周总光[1] 张波[1] 陈志新[1] 陈佳平[1] 

机构地区：[1]四川大学华西医院胃肠外科中心,成都610041

出　　处：《中国普外基础与临床杂志》2011年第5期520-522,共3页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省科技厅科技支撑计划攻关项目(项目编号:2008SZ0168)~~

摘　　要：目的探讨手助腹腔镜技术在胃癌根治术中的可行性。方法回顾性分析2例手助腹腔镜胃癌(贲门癌)根治术患者的临床相关资料,包括手术时间、手术相关并发症、术中出血量、手术清扫淋巴结数目、术后并发症、肠道功能恢复时间、术后住院时间等。结果 2例手术均获成功,分别施行手助腹腔镜根治性全胃切除术及远端胃大部切除术,手术时间分别为310 min和220 min,无手术相关并发症,术中出血量分别为120 ml和80 ml,手术清扫淋巴结数目分别为38枚和52枚,术后无继发性出血、肠瘘、吻合口漏等并发症,2例患者术后顺利恢复出院。结论手助腹腔镜胃癌根治手术是安全、可行的,但还有待进一步评估。Objective To investigate the feasibility of hand-assisted laparoscopic surgery in radical gastrectomy for gastric cancer.Methods The data of two cases undergoing hand-assisted laparoscopic radical gastrectomy for gastric cancer,including operative time,operation related complications,intraoperative bleeding volumes,number of harvested lymph nodes,postoperative complications,time to restoration of bowel function,and length of postoperative hospital stay,etc,were retrospectively analyzed.Results Two patients had undergone the successful hand-assisted laparoscopic radical total gastrectomy and distal gastrectomy without operation related complications.The operative time was 310 min and 220 min,respectively.While,the intraoperative bleeding volume was 120 ml and 80 ml with the number of harvested lymph node being 38 and 52,respectively.There were no postoperative bleeding,intestinal fistula,and anastomotic leakage,etc.The patients were discharged with smooth and fully recovery.Conclusion The application of hand-assisted laparoscopic surgery in radical gastrectomy for gastric cancer is feasible and safe.However,the effectiveness needs further exploring.

关 键 词：胃癌 贲门癌 手助腹腔镜技术 根治性胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]