【作者】 张驰； 胡祥；

【机构】 大连医科大学附属第一医院胃肠外科；

【摘要】 目的:探讨腹腔镜下行保留幽门及迷走神经胃切除术(Pylorus-vagus-preserving gastrectomy,PPG)治疗早期胃癌的可行性。方法:2004年5月至2013年4月我们为12例早期胃癌患者实施了LAPPG,回顾性分析这12例患者的临床资料。结果:腹腔镜下行保留幽门及迷走神经胃切除术无论从手术时间、术中出血量、胃肠道功能恢复时间以及预后都与前期总结的开腹保留幽门及迷走神经胃切除术组相当。结论:保留幽门及迷走神经胃切除术可以保留神经功能和减轻手术创伤,是治疗早期胃癌比较理想的术式之一。更多还原

【Abstract】 Objectiver:Explore the feasibility of laparoscopic gastrectomy preserving pylorus andvagus nerve in the treatment of early gastric cancer.Results:Operation time,bleeding volume,recovery time of gastrointestinal function and prognosis are seem both Laparoscopic gastrectomy vagus nerve preserving pylorus with previous summary of pylorus preserving gastrectomy group andabdominal vagal.Methods:The clinical data of 12 patients with early gastric cancer who were treated by LAPPG from May 2004 to April 2013 were retrospectively analyzed.This surgery preserves nerve and functions,and limits the surgical injury.Conclusion:PPG is one of the most ideal surgical methods for the treatment of early gastric cancer.更多还原