超声刀在开腹胃癌D2根治术中的应用体会  

Application experiences of the ultrasonic scalpel in D2 radicalresection of gastric carcinoma

作　　者：韩鸿彬[1] 韩保卫[1] 李朝辉[1] 董帅军[1] 刘帅锋[1] 

机构地区：[1]郑州大学附属洛阳市中心医院胃肠胰腺外科,洛阳471009

出　　处：《国际外科学杂志》2012年第4期240-242,共3页International Journal of Surgery

摘　　要：目的探讨超声刀在开腹胃癌I）2根治术中的临床应用价值。方法回顾性分析郑州大学附属洛阳市中心医院2008年9月-2010年9月收治的136例胃癌D2根治术患者的病例资料，分为超声刀组和常规手术组，其中75例应用超声刀，61例应用电刀，比较两组淋巴结清扫时间、术中出血量、术后72h引流量、术后并发症等情况，两样本均数问比较采用方差分析。结果超声刀组平均手术时间为（114±35）mL；手术出血量为（110．4±32）mL；术后72h引流量为（180±24）mL。与常规手术组相比，手术时间、术中出血量及术后72h引流量均明显减少（P〈0．05）。超声刀组平均总淋巴结检出数为18枚，常规手术组平均总淋巴结检出数为17枚，两组淋巴结检出率差异无统计学意义（P〉0．05）。结论超声刀应用于开腹胃癌D2根治术，能够提高手术疗效、减少创伤、加快术后恢复，在胃癌根治术中具有较好的应用前景。Objective To investigate the ultrasonic clinical value of scalpel in abdominal surgery for D2 radical gastrectomy for gastric cancer. Methods A retrospective analysis was made in Zhengzhou University Affiliated Luoyang Centra~ Hospital from September 2008 to September 2010 gastric group. The patients were divided into ultrasound knife group and normal operative in 136, including 75 eases using ultrasonic scalpel, 61 using eases electric knife . The lymph node dissection time, intraoperative blood loss, the drainage 72 h after were compared between the two groups. Results The average operation time ultrasound knife group was （114±35） rain, the surgery blood loss was （110.4±32） mL. The drainage 72 h after operation was （180±24） mL, which were significantly reduced compared with the normal operative group. The difference in detection rate between the two groups was not statric cancer can improve efficiency, reduce trauma, accelerate postoperative recovery, showing good application prospect in radical resection of gastri cancer. Conclusions Ultrasound knife used in D2 radical gastrectomy for gastric cancer can improve efficiency, reduce trauma, accelerate postoperative recovery, showing good application prospect in radical resection of gastric cancer.

关 键 词：胃肿瘤 外科手术 淋巴结清扫 

分 类 号：R735.2[医药卫生—肿瘤]