急诊胃癌穿孔腹腔镜手术方式选择的研究  

Study on the Selection of Laparoscopic Surgical Modalities for Gastric Cancer Perforation

作　　者：王璟[1] 刘宏斌[1] 韩晓鹏[1] 苏琳[1] 李洪涛[1] 于建平[1] 李三党 

机构地区：[1]兰州军区兰州总医院普通外科,甘肃兰州730050

出　　处：《现代生物医学进展》2014年第29期5680-5682,共3页Progress in Modern Biomedicine

基　　金：国家科技部;财政部科技惠民计划项目(2012GS620101);甘肃省科技重大专项(2011GS04390)

摘　　要：目的:对急诊胃癌穿孔腹腔镜手术方式的选择进行探讨,为进一步优化治疗方案提供依据。方法:选取笔者所在医院2008年6月-2013年6月经治的21例胃癌穿孔临床资料作为研究对象,所有患者的病历资料完整,术式选择、并发症发生情况和术后存活时间进行分析。结果:21例均成功行腹腔镜手术。3例行单纯腹腔镜修补术,12例行经腹腔镜胃癌根治术(Ⅰ期7例+Ⅱ期5例),6例行姑息性远侧胃大部切除术(Ⅰ期5例+Ⅱ期1例)。结论:胃癌穿孔患者,全身情况较好可耐受全麻及腹腔镜根治性切除者,可积极行Ⅰ期腹腔镜根治行切除术。无条件者行穿孔修补术后2-3周再施行Ⅱ期经腹腔镜胃癌根治术。Objective： To compare different Laparoscopic surgical modalities for gastric cancer perforation. Methods： The clinical data of twenty one cases with perforation of gastric cancer which underwent different surgical procedures from June 2008 to June 2013 were analyzed retrospectively. Results： Three patients underwent repair of perforation; Six patients received partial gastrectomy and twelve radical gastrectomy. Coneltmion： Radical gastrectomy and positive treatment can prolong the survival time and improve the quality of life Gf the patient with perforation with gastric cancer.

关 键 词：胃癌 穿孔 腹腔镜 预后 

分 类 号：R735.2[医药卫生—肿瘤]