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腹腔镜胃癌根治术的临床应用
引用本文:孙明生,陈俊,邱荣飞,勒世联,熊隆信. 腹腔镜胃癌根治术的临床应用[J]. 腹腔镜外科杂志, 2008, 13(3): 210-212
作者姓名:孙明生  陈俊  邱荣飞  勒世联  熊隆信
作者单位:南昌市第一医院,江西 南昌,330008;南昌市第一医院,江西 南昌,330008;南昌市第一医院,江西 南昌,330008;南昌市第一医院,江西 南昌,330008;南昌市第一医院,江西 南昌,330008
摘    要:目的:探讨腹腔镜胃癌根治术的可行性和效果。方法:为20例胃癌患者行腹腔镜胃癌根治术,其中根治性远侧胃次全切除术18例;根治性全胃切除术2例。结果:1例中转开腹,1例改行经胸食管空肠吻合,余者行腹腔镜胃癌根治术均获成功。平均手术时间270min(210~380min),平均出血量185ml(80~350ml),平均清扫淋巴结21.5枚(13~29枚),平均肛门排气时间2.5d(1~4d)。结论:腹腔镜胃癌根治术是安全可行的,能获得与开腹手术相当的根治效果。

关 键 词:胃肿瘤  根治性胃切除术  腹腔镜术

The application of laparoscopic radical gastrectomy
SUN Ming-sheng,CHEN Jun,QIU Rong-fei,et al.. The application of laparoscopic radical gastrectomy[J]. Journal of Laparoscopic Surgery, 2008, 13(3): 210-212
Authors:SUN Ming-sheng  CHEN Jun  QIU Rong-fei  et al.
Affiliation:SUN Ming-sheng,CHEN Jun,QIU Rong-fei,et al.Dept.of General Surgery,Nanchang the First Hospital,Nanchang 330008,China
Abstract:Objective:To explore the feasibility,and effect of laparoscopic radical gastrectomy.Methods:Among the 20 cases with gastric cancer,18 cases received radical distal gastrectomy,2 cases received total gastrectomy.Results:Eighteen cases underwent laparoscopic radical gastrectomy successfully,but one case conversion to open procedure,1 case converted to open chest for esophagojunostomy.The mean operation stay was 270min(210-380min),the mean volume of blood loss was 185ml(80-350ml),the mean number of harvested lymph nodes were 21.5(13-29),the mean time was 2.5 days(1-4days)for gastrointestinal function recovery.Conclusions:Laparoscopic radical gastrectomy is a feasible,safe and minimally invasive treatment and can achieve the same outcome as the open operation.
Keywords:Stomach neoplasms  Gastrectomy  radical  Laparoscopy
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