腹腔镜辅助下胃癌根治术35例临床分析

目的探讨腹腔镜辅助下胃癌根治手术的根治程度、可行性及其特点。方法自2005年6月至2008年6月，对35例胃癌患者施行了腹腔镜手术，其中胃远端根治性胃大部切除术21例，胃体部癌行全胃切除3例，胃底贲门癌行腹腔镜近端根治性胃大部切除术11例。结果所有患者均在腹腔镜下顺利完成手术，无中转手术者。术中切除淋巴结个数为（21±5．8）；切缘距肿瘤距离近端为（5．2±1．2）cm，远端为（6．0±1．7）cm；手术时间（203±34）min；术中出血（123±22）ml；术后恢复胃肠道功能时间（42±6．5）h；术后住院时间平均7．5d。结论腹腔镜辅助下胃癌手术对Ⅰ期、Ⅱ期和部分Ⅲ期胃癌具有创伤小且术后恢复快的特点，是一种较安全的手术，并与开腹手术具有相似的根治程度。

Laparoscopy-assisted radical gastrectomy: a report of 35 cases

Objective To explore the method and feasibility of laparoscopy-assisted radical gastrecto-my. Methods Since from June 2005 to June 2008,35 cases of gastric cancer patients with the implementation of laparoscopic surgery, gastric remote radical gastrectomy in 21 cases, gastric cancer line total gastrectomy in 3, gastric cardia Proximal cancer laparoscopic radical gastrectomy in 11 cases. Results All cases were performed the laparoscopic procedure successfully. No conversion to open surgery occurred. The number of surgical removal of lymph nodes was(21±5.8. Distance from the tumor of the proximal stump was(5.2±1.2)cm,the remote is (6. 0±1.7) cm. The mean operative time was (203±34) min and the average blood losswas (123 ± 22) ml. The mean time for the bowl function returned of(42±6.5)h after operation on average. Conclusion Laparoscopic-as-sisted surgery for gastric cancer Ⅰ,Ⅱ period, and part of the Ⅲ period gastric cancer with less trauma and faster postoperative recovery characteristics,is a relatively safe operation with open surgery with a similar degree of cure.