摘要
目的探讨超声刀在腹腔镜胃癌根治手术中的应用。方法应用超声刀行腹腔镜胃癌根治手术10例。结果10例患者全部使用超声刀顺利完成手术,无中转开腹。手术时间300-492 min,平均（385±64）min;术中出血量100-500 ml,平均（401±70）ml;清扫淋巴结数目为21-43枚,平均（31±6）枚;术后胃肠功能恢复时间3-6 d,平均（4.2±1.0）d;下床活动时间3-7 d,平均（4.5±1.3）d;进流食时间4-6 d,平均（5.0±0.9）d。术后随访4-20个月（平均12.6个月）无肿瘤复发及转移。结论应用超声刀行腹腔镜胃癌根治手术安全、可行;超声刀具有创伤小、术中出血少、缩短手术时间等优点,是腹腔镜胃肠外科理想和必备的手术工具。
Objective To study the application of ultracision harmonic scalpel in laparoscopic radical gastrectomy.Methods Ten patients with gastric cancer were given laparoscopic-assisted radical gastrectomy by using ultracision harmonic scalpel.Results All operations were successfully performed with ultracision harmonic scalpel,and none of which converted into open surgery.The operation time was 300-492 min,mean（385±64） min.The blood loss was 100-500 ml,mean（401±70） ml.The number of harvested lymph nodes was 21-43,mean 31±6.The time for gastrointestinal function recovery was 3-6 d,mean（4.2±1.0） d.The time of patients＇ taking out-of-bed activity was 3-7 d,mean（4.5±1.3） d.The time of taking liquid food was 4-6 d,mean（5.0±0.9） d.No case had relapse or metastasis after 4-20 months（mean 12.6 months） of follow-up.Conclusions Laparoscopic radical gastrectomy by using ultracision harmonic scalpel is safe and feasible.Ultracision harmonic scalpel has the advantage of minimal invasion,less bleeding and shorter operation time,which is a very important equipment and useful for laparoscopic gastrointestinal surgery.
出处
《中国普外基础与临床杂志》
CAS
2009年第10期781-784,共4页
Chinese Journal of Bases and Clinics In General Surgery
基金
湖北省科技攻关资助项目(项目编号:2007AA301B33)~~
关键词
超声刀
腹腔镜
胃癌
淋巴结清扫
根治术
Ultracision harmonic scalpel
Laparoscope
Gastric cancer
Lymphadenectomy
Radical resection
