摘要
目的回顾性分析腹腔镜辅助下胃癌根治术的疗效。方法 35例进展期胃癌患者施行了腹腔镜辅助下胃癌根治术,术后随访(11.8±5.9)个月。结果 35例患者均成功完成腹腔镜手术,其中,行远端胃大部切除(毕Ⅱ)式18例,近端胃大部切除2例,全胃切除14例,全胃切除+脾切除1例。手术时间(178.9±25.7)min,所有标本均为R0切除,清除淋巴结(14.6±3.7)枚,无手术死亡病例。术后通气时间(3.6±0.7)d,住院时间(9.7±1.6)d。总体并发症发生率14.3%。出现腹腔内转移2例(2.9%)。1年生存率97.1%,无瘤生存率94.3%。结论腹腔镜辅助下胃癌根治术是安全可行的,能达到根治性切除。
Objective To respectively evaluate the outcomes of laparoscopy-assisted radical gastrectomy for advanced gastric cancer.Methods Laparoscopy-assisted radical gastrectomy was performed in 35 patients with advanced gastric cancer,who were followed-up for（11.8±5.9） months.Results The operations were all successful without surgical death,in which radical distal gastrectomy（Billroth Ⅱ） was performed in 18 cases,radical proximal gastrectomy in 2 cases,radical total gastrectomy in 14 cases and radical total gastrectomy with splenectomy in 1 cases.Mean operating time was（178.9±25.7）minutes and（14.6±3.7） lymph nodes were resected.Overall morbidity rate was 21.1%.Resection margins were negative in all patients.Mean time to recovery of gastrointestinal function was（3.6±0.7） days.Mean duration of postoperative hospital stay was（9.7±1.6） days.Two（2.9%） patients had systemic metastases.One-year survival rate was 97.1% and disease free survival rate was 94.3%.Conclusion Laparoscopy-assisted radical gastrectomy is feasible and safe and may fulfill the operative parameters and adequate oncologic outcomes.
出处
《江苏医药》
CAS
CSCD
北大核心
2012年第23期2834-2836,共3页
Jiangsu Medical Journal
关键词
胃癌
腹腔镜辅助下胃癌根治术
Gastric cancer
Laparoscopy-assisted radical gastrectomy
