腹腔镜辅助远端胃切除胃癌根治术的临床研究

【摘要】 目的:对腹腔镜辅助远端胃切除胃癌根治术的安全性及可行性进行探讨。方法:随机选取2011年12月-2013年12月我院接诊的70例行腹腔镜辅助远端胃切除胃癌根治术的患者进行回顾性分析;通过观察手术相关指标、病理诊断以及病人恢复指标、后期随访对手术结果进行评价。结果:70例患者中除2例因术中发现肿瘤侵犯胰腺头部而中转开腹外,其余68例均顺利完成腹腔镜辅助远端胃切除胃癌根治手术。结论:腹腔镜辅助远端胃切除胃癌根治手术是安全可行的,并且其具有出血少、创伤小及术后恢复快等优点,比较适用于早期胃癌及部分病灶局限、无远处转移的进展期胃癌的手术治疗,值得我们在临床上广泛推广。更多还原

【Abstract】 Objective:To carry out the investigations on the safety and feasibility of the laparoscopic assisted distal gastrectomy to the gastric cancer.Methods:We randomly selected 70 patients with gastric cancer,performed with laparoscopic assisted distal gastrectomy for retrospective analysis.Results:of the surgeries are evaluated according to the surgery-related index,pathologic diagnose,the recovery-related index and the return visit.The results:Expect for 2patients that are performed with belly surgery,whose caput pancreatis are diagnosed with tumours.The other 68 patients are performed with laparoscopic assisted distal gastrectomy for gastric cancer treatment successfully.Conclusions:The laparoscopic assisted distal gastrectomy is safe and feasible and with the advantages of little bleeding,injuries,as well as recovery with high efficiency.It is beneficial for the treatment on patients with gastric cancer on early stage,as well as those having localized lesions without transfer.It is worth for us to paying attention to its application in clinic treatment.更多还原