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机构地区:[1]第二军医大学附属长征医院普外科,上海200003
出 处:《中华普外科手术学杂志(电子版)》2016年第1期17-17,共1页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
摘 要:胃癌是我国的常见恶性肿瘤,发病率居第三位,近年外科领域引入用腹腔镜行根治性手术,明显减小了手术切口,术后疼痛减轻,成为胃癌术后快速康复的重要手段。本片中的患者为位于胃角的早期胃癌,行腹腔镜根治性远端胃大部切除术,并采用三角吻合方式进行消化道重建,手术时间100 min,术后脐部标本口长约2.5 cm,术后24 h下床活动,72 h逐步恢复饮食,第7天出院,显示腹腔镜在胃癌根治术中独特优势。Gastric cancer is a common malignant tumor and ranks the third in China. In recent years ,laparoseopic radical operation has been the important procedure for rapid rehabilitation after removal of gastric cancer, which reduces the incision and eleminates postoperative pain. The patient we described suffered from early gastric cancer located in the stomach angle. Radical distal gastric resection was performed with laparoscopy and Delta anastomosis was used for the reconstruction of the digestive tract. The operation lasted for 100 minutes with a 2.5 cm incision under the navel level. The patient ambulated 24 hours after surgery and was discharged 7 days after operation. This sdudy showed that laparoscopic radical gastreetomy is beneficial to patient' s postoperative recovery.
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