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腹腔镜辅助下进展期胃癌根治术16例临床分析

甄四虎 侯会池 王少文 李伟 刘伟

局解手术学杂志2011,Vol.20Issue(4):405-406,2.
局解手术学杂志2011,Vol.20Issue(4):405-406,2.

腹腔镜辅助下进展期胃癌根治术16例临床分析

Laparoscopic-assisted radical gastrectomy for advanced gastric cancer in 16 cases

甄四虎 1侯会池 1王少文 1李伟 1刘伟1

作者信息

  • 1. 白求恩国际和平医院普通外科,河北,石家庄,050082
  • 折叠

摘要

Abstract

Objective To explore the feasibility and efficacy of laparoscopic-assisted radical gastrectomy for advanced gastric cancer.Methods All 16 patients with advanced gastric cancer receiving laparoscopic-assisted gastrectomy (2 cases of total gastrectomy,8 cases of proximal gastrectomy and 6 cases of distal gastrectomy) in our hospital from December 2009 to October 2010 were analyzed. Results Laparoscopic-assisted gastrectomy was performed successfully on all patients. The average operative time was 280(230 ~310)min in total gastrectomy,246 (210 ~276)min in proximal gastrectomy and 230 (200 ~256 )min in distal gastrectomy. The average blood loss was 280 (260 ~300 ) mL in total gastrectomy, 110 (60 ~180)mL in proximal gastrectomy and 120 (70 ~200)mL in distal gastrectomy. The length of the incision was 5 ~ 7cm. The mean time of gastrointestinal function recovery was 3.5 ( 2 ~ 4 ) d and the mean out-of-bed activity time was 3.5 ( 2 ~ 4 )d. All patients were followed up for 1 ~8 months. No operation complication, local recurrence and Trocar implant were observed. Conclusion Laparoscopic-assisted gastrectomy is a safe and reliable surgical procedure. Minimally invasive surgery- is feasible in radical operation of gastric cancer.

关键词

胃癌/腹腔镜/根治手术

Key words

gastric cancer/ laparoscope/ radical operation

分类

医药卫生

引用本文复制引用

甄四虎,侯会池,王少文,李伟,刘伟..腹腔镜辅助下进展期胃癌根治术16例临床分析[J].局解手术学杂志,2011,20(4):405-406,2.

局解手术学杂志

OACSTPCD

1672-5042

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