腹腔镜外科杂志2017，Vol.22Issue(1)：36-38,3.DOI:10.13499/j.cnki.fqjwkzz.2017.01.036
完全腹腔镜下残胃癌根治术的临床应用及近期疗效
Clinical application and short term effect of total laparoscopic radical gastrectomy for gastric stump cancer J
吉翔 1王朝阳 2石鑫 2于建平 2苏琳 2李洪涛 2韩晓鹏 2刘宏斌2
作者信息
- 1. 宁夏医科大学研究生院，宁夏 银川，750004
- 2. 兰州军区兰州总医院
- 折叠
摘要
Abstract
Objective:To investigate the feasibility,technical methods and short term clinical effects of total laparoscopic radi-cal gastrectomy for gastric stump cancer. Methods:Clinical data of 18 patients with gastric stump cancer were retrospectively analyzed from Jun. 2013 to Oct. 2015. The operation methods were summarized,the postoperative recovery and the recent complications were ana-lyzed. Results:Eighteen cases of totally laparoscopic radical surgery for gastric stump cancer were successful,the average operative time was (210. 0±20. 5) min,intraoperative blood loss was (104. 2±23. 2) ml. Number of harvested lymph nodes was (28. 6±4. 0). On the first postoperative day,gastric tube was removed,exhaust time was (2. 3±0. 3) d,the first time of liquid intake was (2. 3±0. 3) d,post-operative hospital stay was (7. 2±0. 7) d. No death occurred in perioperative period,no complications such as abdominal hemorrhage, anastomotic fistula,stump fistula,anastomotic stenosis,intestinal obstruction or reflux esophagitis were not found in any patients. Con-clusions:Totally laparoscopic radical gastrectomy for gastric stump cancer is safe, feasible, and has advantages of fast recovery. The esophagojejunostomy by delta shaped anastomosis after gastrectomy is safe and feasible. The operation can improve the quality of life of patients and induce satisfactory short-term therapeutic effects.关键词
残胃癌/胃癌根治术/腹腔镜检查/近期疗效Key words
Gastric stump cancer/Radical operation for carcinoma of stomach/Laparoscopy/Short-term curative effects分类
医药卫生引用本文复制引用
吉翔,王朝阳,石鑫,于建平,苏琳,李洪涛,韩晓鹏,刘宏斌..完全腹腔镜下残胃癌根治术的临床应用及近期疗效[J].腹腔镜外科杂志,2017,22(1):36-38,3.
