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胃及胃食管交界部疾病的腹腔镜手术治疗(附59例报道)
引用本文:范莹,吴硕东,于宏,苏洋,孔静,田雨.胃及胃食管交界部疾病的腹腔镜手术治疗(附59例报道)[J].中国普外基础与临床杂志,2010,17(2).
作者姓名:范莹  吴硕东  于宏  苏洋  孔静  田雨
作者单位:中国医科大学附属盛京医院第一微创外科胆道外科,沈阳,110004
摘    要:目的探讨胃及胃食管交界部疾病腹腔镜手术治疗的可行性和安全性。方法2004年5月至2009年6月期间我科共59例患者因胃及胃食管交界部疾病接受腹腔镜手术治疗,对手术方法、技巧以及患者围手术期处理、术后并发症和疗效进行分析和评价。结果除1例全胃癌患者中转开腹外,其余均在腹腔镜下成功完成手术。未发生近期并发症。胃癌患者术后随访平均36个月(1~60个月),未出现戳孔种植转移病例。1例患者术后12个月死于肝转移。直接法计算3年生存率为93.3%(14/15)。结论腹腔镜胃及胃食管交界部疾病手术可行,并具有安全、微创的特点,值得推广。

关 键 词:腹腔镜外科  胃癌  胃间质瘤  贲门失弛缓症  食管裂孔疝  治疗结果

Laparoscopic Operation of Gastric and Gastroesophageal Junction Disease(Report of 59 Cases)
FAN Ying,WU Shuo-dong,YU Hong,SU Yang,KONG Jing,TIAN Yu.Laparoscopic Operation of Gastric and Gastroesophageal Junction Disease(Report of 59 Cases)[J].Chinese Journal of Bases and Clinics In General Surgery,2010,17(2).
Authors:FAN Ying  WU Shuo-dong  YU Hong  SU Yang  KONG Jing  TIAN Yu
Institution:FAN Ying,WU Shuo-dong,YU Hong,SU Yang,KONG Jing,TIAN Yu. Department of The First Minimal Invasive Surgery , Bile Duct Surgery,Shengjing Hospital of China Medical University,Shenyang 110004,China
Abstract:Objective To investigate the feasibility and safety of laparoscopic operation of gastric and gastroesophageal junction diseases. Methods Between May 2004 and June 2009,59 patients with gastric and gastroesophageal diseases were treated laparoscopically. The operative methods and maneuvers were evaluated and perioperative interventions,complications and efficacy of patients were analyzed. Results All operations were successfully completed laparoscopically except for one patient with gastric cancer who requir...
Keywords:Laparoscopic surgery  Gastric cancer  Gastric stromal tumor  Esophageal achalasia  Esophageal hiatal hernia  Treatment outcome  
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