| 3D全腹腔镜根治性全胃切除术45例疗效分析 |
| |
| 引用本文： | 冯 震,董 洋,张新生,张乾世,张卫彬,张振兴,刘敦波,任双义. 3D全腹腔镜根治性全胃切除术45例疗效分析[J]. 大连医科大学学报, 2018, 40(4): 307-310. DOI: 10.11724/jdmu.2018.04.04 |
| |
| 作者姓名： | 冯 震 董 洋 张新生 张乾世 张卫彬 张振兴 刘敦波 任双义 |
| |
| 作者单位： | 1. 大连医科大学附属第二医院胃肠外科,辽宁大连,116027;2. 锦州市中心医院普外科,辽宁锦州,121000 |
| |
| 基金项目： | 国家自然科学基金项目(81372669)，大连市科技创新基金项目(2018J13SN091) |
| |
| 摘 要： | 目的 探讨3D全腹腔镜技术在根治性全胃切除术中的安全性及可行性.方法 回顾性分析2016年1月至2017年10月在大连医科大学附属第二医院胃肠外科接受3D全腹腔镜根治性全胃切除术45例患者的临床资料,对患者手术情况、术后情况、病理、住院费用等进行统计学分析.结果 45例患者均顺利进行3D全腹腔镜根治性全胃切除术,无中转开腹及围手术期死亡病例,平均手术时间为(218.22±33.30) min,平均出血量为(117.06±71.33)mL,术后首次进流食时间为(3.33±1.47)d,平均清扫淋巴结(36.48±17.49)个,平均拔出腹腔引流管时间为(10.26±6.72)d,术后住院时间(11.80±8.29)d,总住院费用(83370.35±15490.54)元.共有8例(17.8％)患者出现术后并发症:4例食管空肠吻合口漏、2例肺炎、1例重症胰腺炎、1例切口感染,吻合口漏患者行空肠营养管置入及对症治疗后好转、余并发症患者均经对症治疗后好转.结论 3D全腹腔镜根治性全胃切除术安全、可行,创伤小,患者术后恢复快,近期疗效较好.
|
| 关 键 词： | 全腹腔镜 3D 全胃切除 胃癌 |
| 收稿时间： | 2018-01-09 |
Treatment experience of three-dimensional laparoscopic total gastrectomy in 45 patients |
| |
| REN Shuangyi,LIU Dunbo,ZHANG Zhenxing,ZHANG Weibin,ZHANG Qianshi,ZHANG Xinsheng,DONG Yang,FENG Zhen. Treatment experience of three-dimensional laparoscopic total gastrectomy in 45 patients[J]. Journal of Dalian Medical University, 2018, 40(4): 307-310. DOI: 10.11724/jdmu.2018.04.04 |
| |
| Authors: | REN Shuangyi LIU Dunbo ZHANG Zhenxing ZHANG Weibin ZHANG Qianshi ZHANG Xinsheng DONG Yang FENG Zhen |
| |
| Affiliation: | Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China,Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China,Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China,Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China,General Surgery Department, Jinzhou Central Hospital, Jinzhou 121000, China,Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China,Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China and Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Dalian Medical University, Dalian 116027,China |
| |
| Abstract: | |
| |
| Keywords: | totally laparoscopic three-dimensional laparoscopy total gastrectomy gastric cancer |
| 本文献已被 万方数据 等数据库收录！ |
| 点击此处可从《大连医科大学学报》浏览原始摘要信息 |
|
点击此处可从《大连医科大学学报》下载免费的PDF全文 |
|
