中国普通外科杂志Issue(10)：1321-1325,5.DOI:10.7659/j.issn.1005-6947.2014.10.004
腹腔镜胃癌手术中两种处理血管的方法比较
Comparison of two approaches for management of blood vessels during laparoscopic gastric cancer surgery
邓治洲 1郭仪 1刘晓飞 1卢衡凭1
作者信息
- 1. 湖南省郴州市第一人民医院南院 肿瘤外科二区，郴州 湖南 423000
- 折叠
摘要
Abstract
Objective: To compare the clinical effects between two approaches for management of blood vessels during laparoscopic gastric cancer surgery. <br> Methods: The surgical video and clinical data 187 patients undergoing laparoscopic D2 radical gastrectomy for distal gastric cancer over the past 4 years were retrospectively analyzed. According to the methods used for management of blood vessels during operation, the patients were divided into method one group (n=89) and method two group (n=98). hTe major part of procedure of method one was performed by the primary surgeon alone, while the procedure of method two was completed by the close cooperation between the primary surgeon and the assistant surgeon. hTe pre-, intra- and postoperative conditions between the two groups of patients were compared. <br> Results: The preoperative conditions between the two groups were comparable. No statistical difference was observed in number of lymph nodes identified at pathological examination, and the incidence of associated postoperative complications between the two groups (bothP>0.05), while method two group was signiifcantly superior to method one group with regard to operative time and intraoperative blood loss (bothP<0.05). <br> Conclusion: hTrough the close cooperation between the primary surgeon and the assistant surgeon, management of blood vessels can be quickly completed, the time for lymph node clearance is shortened, intraoperative blood loss is reduced, and with no decrease in quality of lymph node clearance, so it is recommended to be used in clinical practice.关键词
胃肿瘤/外科学/胃切除术/方法/淋巴结切除术/腹腔镜Key words
Stomach Neoplasms/surg/Gastrectomy/method/Lymph Node Excision/l Laparoscopes分类
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邓治洲,郭仪,刘晓飞,卢衡凭..腹腔镜胃癌手术中两种处理血管的方法比较[J].中国普通外科杂志,2014,(10):1321-1325,5.
