机器人辅助胃癌根治术

患者在静吸复合麻醉下机器人胃癌根治术(全胃D2淋巴结清扫,Roux－en－Y吻合),淋巴结清扫与消化道重建均在镜下完成,手术时间：205 min,术中出血量：65 ml。术后病理：胃体小弯中－低分化腺癌,侵润至胃壁全层,见神经侵犯,上下切缘及大网膜未见癌组织累及,胃小弯淋巴结(8/26)见癌组织累及,胃大弯侧淋巴结(4/11)见癌组织转移。患者术后第4天出院,围手术期处理在加速康复外科理念指导下进行。

Robotic assisted radical gastrectomy for gastric cancer

The patients underwent robotic radical gastrectomy(total gastrectomy and D2 lymph node dissection with Roux En Y anastomosis)under static inhalation combined anesthesia.Lymph node dissection and digestive tract reconstruction were all performed under the lens.The operation time was 205 minutes and the intraoperative blood loss was 65ml.Postoperative pathology:middle low differentiated adenocarcinoma of the small curvature of the stomach infiltrating into the whole gastric wall with nerve invasion no involvement of the upper and lower resection margin and greater omentum.Metastasis of lymph nodes were of 8/26 within small curvature of the stomach and were of 4/11 within large curvature of the stomach.The patient was discharged from the hospital on the 4th day after the operation and the perioperative treatment was conducted under the guidance of the concept of accelerated rehabilitation surgery.