腹腔镜治疗胃类癌35例临床分析

目的:探讨胃类癌的诊断、腹腔镜外科治疗及患者预后。方法:兰州军区兰州总医院普外科2009年10月至2014年6月收治的35例胃类癌患者行腹腔镜手术治疗，观察其疗效及预后。结果:35例患者腹腔镜手术均顺利，术后出现肺部感染、胸腔积液2例，吻合口瘘1例，积极处理后痊愈出院，术后病理结果提示符合胃类癌。结论:胃类癌具有生长缓慢、恶性程度相对较低、临床表现不典型、预后相对其他消化道肿瘤较好的特点，腹腔镜下胃类癌手术治疗，疗效满意。

The clinical analysis of laparoscopic in 35 patients with gastric carcinoid

Objective:To study the diagnosis of gastric carcinoid，treatment and prognosis of patients with laparoscopic surgery.Methods:All 35 patients with gastric carcinoid underwent laparoscopic operation were collected from October 2009 to June 2014.The curative effect and prognosis were observed.Results:All 35 patients with laparoscopic surgery were successfully.The postoperative complications were pulmonary infection，pleural effusion in 2 cases，anastomotic fistula in 1 case.All patients recovered after treatment.The postoperative pathological results show gastric carcinoid.Conclusion:Gastric carcinoid has some significantly character，such as slow growth，low malignant degree，atypical clinical manifestation and good prognosis.The curative effect of gastric carcinoid underwent laparoscopic operation were satisfactory.