腹腔镜_____腹腔镜；胃肿瘤；胃切除术

腹腔镜在胃癌根治术中的应用

http://www.100md.com 《腹腔镜外科杂志》 2006年第2期

腹腔镜,,腹腔镜；胃肿瘤；胃切除术,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜胃癌根治术的可行性和效果。方法：分析腹腔镜胃癌根治术16例患者的临床资料，其中全胃切除术4例,近端胃大部切除术3例，远端胃大部切除术9例。结果：16例均顺利完成腹腔镜手术。手术平均时间：全胃切除术380min(350～410min),近端胃大部切除术236min(210～259min),远端胃大部切除术273min(250～310min)。术中平均出血量：全胃切除术500ml(400～600ml),近端胃大部切除术120ml(50～170ml),远端胃大部切除术140ml(70～200ml)。术后患者平均胃肠功能恢复时间为32d(2～4d),下床活动时间为33d(3～4d),开始进流质时间39d(3～5d),术后近期恢复良好。结论：腹腔镜胃癌根治手术安全、可行，能够达到与开腹手术相当的根治效果。

    【关键词】腹腔镜；胃肿瘤；胃切除术

    The application of laparoscopy in the radical gastrectomy

    LIU Qing,SUN Nianxu,LONG Zhui.

    Minimally Invasive Surgery Center,Chongqing Third People's Hospital,Chongqing 400014,China

    【Abstract】 Objective:To explore the feasibility,method and effect of laparoscopicallyassisted radical gastrectomy.Methods:In a total of 16 cases gastric cancer,there were 4 cases receiving radical total gastrectomy,3 cases receiving proximal gastrectomy,and 9 cases receiving distal gastrectomy.Results:16 cases underwent laparoscopicallyassisted surgery successfully and there was no conversion to open surgery.The average operative time of total gastrectomy was 380min(250410min),while it was 236min(210259min) in proximal gastrectomy and 273min(250310min) in distal gastrectomy.The average blood loss was 500ml(400600ml) in total gastrectomy,120ml(50170ml) in proximal gastrectomy,and 140ml(70200ml) in distal gastrectomy.The average time of recovery of bowel function was 3.2d(24d).Time of bedside movement was 3.3d(34d)and the average time of oral intake was 3.9d(35d) after operation.No complication was oberserved.Conclusions:Laparoscopic radical gastrectomy is a safe procedure and matches the results of open surgery.It also leads to less trauma and rapid recovery. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/05/31/97/94/98.htm

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