摘要
目的探讨腹腔镜辅助进展期胃癌根治术的安全性及可行性。方法2006年6月至2009年7月行腹腔镜辅助下胃癌D2根治术11例，TNM分期Ⅱ期6例、Ⅲ。期2例、Ⅲ。期1例、Ⅳ期2例，腹腔镜下行胃的游离及淋巴结清扫，于剑突下约6cm长切口施行胃切除，并行消化道重建。结果11例中，根治性全胃切除术2例，近端胃切除术1例，远端胃切除术7例，1例中转开腹。平均手术用时：全胃切除术350min，近端胃切除术320min，远端胃切除术266min。平均清扫淋巴结21．3（11—38）枚，切缘长度5．6（4．0—9．6）cm。术后患者平均胃肠功能恢复时间72（36—110）h，下床活动时间59（26—86）h，进流食时间76（48～116）h。无一例出现手术相关并发症。结论经腹腔镜行进展期胃癌D2根治术安全、可行，与开腹手术的根治效果相当，近期效果良好，具有创伤小、术后恢复快等优点。
Objective To study the feasibility and safety of laparoscopy-assisted D2 radical gastrectomy for advanced gastric cancer. Methods From June, 2006 to July 2009, 11 patients with gastric cancer received laparoscopy-assisted gastrectomy for gastric cancer. According to UICC TNM classification of gastric cancer, 6 cases were with Stage II, 2 cases with Stage III A, 1 case with Stage HI D, and 2 cases with Stage IV. Under the assistance of laparoseope, dissociation of the stomach and lymph nodes clearance were performed first; then gastrectomy was performed on a 6 cm incision, samples were collected, and alimentary tract was inoculated. Results Among the 11 cases, 2 cases were performed radical total gastrectomy, 1 case was performed proximal partial gastrectomy, 7 cases were performed distal partial gastrectomy and 1 case with open surgery. The mean operation time： 350 min for total gastrectomy, 320 min for proximal partial gastreetom, 266 rain for distal partial gastrectomy. The mean number of harvested lymph nodes was 21.3 （11-38）, incisal edge was 5.6 （4.0-9.6） em. The mean time was 72 （36-110） hrs for gastrointestinal function recovery, 59 （26- 86） hrs for patients to take general activity, and 76 （48-116） hrs to take liquid food. No complication was observed. Conclusion Laparoscopy-assisted D2 radical gastrectomy for advanced gastric cancer is safe and feasible. Compared with open surgery, it also has the advantages of small wound and fast recovery.
出处
《肿瘤研究与临床》
CAS
2010年第3期193-195,共3页
Cancer Research and Clinic
基金
山西省卫生厅科技攻关基金（200625）
关键词
胃肿瘤
腹腔镜
消化系统外科手术
Stomach neoplasms
Laparoscope
Digestive system surgical procedures
