腹腔镜全胃联合胰体尾和脾切除术  

Techniques and feasibility of laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy

作　　者：王大广[1] 张洋[1] 孙璇[1] 于金海[1] 陈岩[1] 何亮[1] 陈怀[2] 所剑[1] 

机构地区：[1]吉林大学第一医院胃结直肠外科,长春130021 [2]吉林省公主岭市中心医院普通外科,136100

出　　处：《中华消化外科杂志》2012年第2期132-135,共4页Chinese Journal of Digestive Surgery

基　　金：吉林省科技厅发展计划项目（200905129）

摘　　要：腹腔镜胃癌根治术因其明显的微创优势近年来在全球范围内广泛开展。目前有报道显示，腹腔镜治疗早期胃癌及进展期胃癌（D2手术）能够达到与开腹手术相同的根治效果。Laparoscopic curative gastrectomy has been widely adopted because it is minimal invasiveness. The efficacy of laparoscopic gastrectomy is comparable to that of open gastrectomy for patients with early or advanced gastric cancer, but few studies of laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy for patients with advanced gastric cancer have been reported. Seven patients with advanced gastric cancer received laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy at the First Hospital of Jilin University from September 2010 to September 2011. The mean operation time, blood loss, postoperative hospital stay and the nunber of lymph nodes resected were （218±24） minutes, （366±174） ml, （ 14.6±2.8 ） days and 32 ±15, respectively. Two patients were complicated by pancreatic juice leakage and were cured with drainage. No anastomotic leakage, abdominal bleeding or mortality was observed. With the development of techniques and equipments, laparoscopic total gastrectomy combined with distal pancreatectomy and splenectomy is safe and feasible in selected patients.

关 键 词：胃肿瘤 腹腔镜检查 胃癌扩大根治术 胰体尾切除 脾切除 

分 类 号：R735.2[医药卫生—肿瘤]