超声刀在胃癌根治术中的应用  

Application of an Ultrasonic Harmonic Scalpel in the Radical Surgery of Gastric Cancer

作　　者：覃新干[1] 黄源[1] 林进令[1] 刘超[2] 陈之白[1] 慕光川[1] 

机构地区：[1]广西医科大学第一附属医院胃肠腺体外科,南宁市530021 [2]广西壮族自治区人民医院外科

出　　处：《中国肿瘤临床》2012年第17期1314-1317,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨超声刀在胃癌根治术中的应用价值。方法:收集2009年3月至2011年3月于广西医科大学第一附属医院胃肠腺体外科由同一手术者进行开腹胃癌D_2根治术的106例患者,将其分为超声刀手术组50例和电刀手术组56例,分别进行超声刀开腹手术及电刀开腹手术,比较两手术组平均手术时间、术中出血量、清扫淋巴结枚数、术后3天引流量、术后住院天数、住院总费用。结果:超声刀手术组平均手术时间、术中出血量、术后住院天数均明显少于电刀手术组(P<0.05),淋巴结清扫枚数明显高于电刀手术组(P<0.05);术后3天引流量、住院总费用两组间比较无明显差异(P>0.05);在并发粥样硬化的患者中,超声刀手术组平均手术时间、术中出血量均明显少于电刀手术组(P<0.05)。结论:将超声刀应用于胃癌根治术可获得较好的效果,更加符合精准外科发展的要求。Objective： To study the efficacy of an ultrasonic harmonic scalpel in the radical surgery of gasmc cancer. MethoOs： A total of 106 gastric cancer patients who had undergone distal D2 lymphadenectomy by the same surgeon between March 2009 to March 2011 in the first ward of the Department of Gastrointestinal Surgery of The First Affiliated Hospital of Guangxi Medical University were included in this study. We divided the patients into the scalpel surgery （50 cases） and conventional surgery （56 cases） groups. The scalpel surgery group underwent surgery by an ultrasonic harmonic scalpel. The conventional surgery group underwent surgery by a mo- nopolar electrocautery shovel and other traditional instruments. Then, these two surgical groups were compared in terms of the average operation time, blood loss, number of harvested lymph nodes, average drainage 3 days after surgery, and post-operative hospital stay. Results： The average operation time, blood loss, and post-operative hospital stay were significantly lower in the scalpel surgery group than in the traditional group （P 〈 0.05）. The number of lymph node dissection was significantly higher in the scalpel surgery group than in the conventional surgery group （P 〈 0.05）. There was no difference between the average drainage 3 days after surgery and hospital- ization costs of the two groups （P 〉 0.05）. In atherosclerotic patients, the average operation time and blood loss significantly lower in the scalpel surgery group than in the traditional group （P 〈 0.05）. Conclusion： An ultrasonic harmonic scalpel may have a viable effect on the radical surgery of gastric cancer patients, and can be used in more precise surgeries to be developed in the future.

关 键 词：超声刀 胃癌 手术 

分 类 号：R735.2[医药卫生—肿瘤]