腹腔镜辅助经腹经膈肌裂孔治疗进展期贲门癌的研究  

Laparoscopic radical gastrectomy for advanced gastroesophageal junction carcinoma via transabdominalhiatal approach

作　　者：肖勇[1] 张万里[1] 成超[1] 肖俊[1] 姚金凤 卢晓明[1] Xiao Yong;Zhang Wanli;Cheng Chao;Xiao Jun;Yao Jinfeng;Lu Xiaoming(Department of Digestive Tumor Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院消化系统肿瘤外科,武汉430022

出　　处：《腹部外科》2018年第4期241-244,共4页Journal of Abdominal Surgery

摘　　要：目的研究腹腔镜辅助经腹经膈肌裂孔治疗进展期贲门癌的疗效。方法 2013年6月至2017年12月于我科诊治的符合纳入标准的进展期贲门癌为研究对象,均行腹腔镜辅助经腹经膈肌裂孔根治术,统计手术时间、术中出血量、淋巴结切除数目、肠通气时间、住院时间及术后并发症等。结果本组行腹腔镜辅助经腹经膈肌裂孔治疗进展期贲门癌病人手术时间为(3.8±0.5)h;术中出血量为(218.6±13.2)ml;淋巴结切除数目为(32.5±4.7)枚/例;肠通气时间为(5.5±1.2)d;住院时间为(9.8±1.5)d。术中未见任何并发症,术后出现吻合口瘘1例,胃癌术后胃瘫1例,经留置鼻空肠营养管支持对症治疗后出院,术后病理未见切缘阳性或肿瘤残留病例。结论进展期贲门癌行腹腔镜辅助经腹经膈肌裂孔根治术,手术短期疗效确切且安全性高,但应严格把握手术适应证。Objective To study the laparoscopic radical gastrectomy for advanced gastroesophageal junction carcinoma via the transabdominal-hiatal approach.Methods Patients with advanced gastroesophageal junction carcinoma were treated with laparoscopic radical gastrectomy via the transabdominal-hiatal approach.The curative effect and complications were detected and compared.ResultsThe mean operative time of laparoscopic radical gastrectomy for advanced gastroesophageal junction carcinoma via the transabdominal-hiatal approach was 3.8±0.5h,mean blood loss during operation was 218.6±13.2 mL,the average number of lymph nodes resected was 32.5±4.7,the mean duration of intestinal ventilation was 5.5±1.2 days,and the average hospital stay was 9.8±1.5 days.Conclusions The laparoscopic radical gastrectomy for advanced gastroesophageal junction carcinoma via the transabdominal-hiatal approach is safe and effective,but the indications should be abided by strictly.

关 键 词：贲门癌 膈肌裂孔 疗效 安全性 

分 类 号：R735.2[医药卫生—肿瘤]