摘要
目的:探讨腹腔镜胃癌D2根治术中无瘤技术的应用价值。方法:回顾性分析2012年1月-2013年6月我科采用标准的腹腔镜胃癌D2根治术并严格实行无瘤技术治疗进展期胃癌患者80例的临床资料,总结手术中的无瘤操作措施和随访结果。结果:本组实行腹腔镜胃癌D2根治术并严格实行无瘤操作技术治疗进展期胃癌患者80例,术后64例患者获得随访,随访时间6-24个月(平均12.8个月),均未发现腹部辅助切口及戳卡孔肿瘤细胞种植转移。其中2例术后12个月内出现肝脏等脏器转移;3例术后24个月内出现腹腔转移复发;1例发生吻合口复发。结论:腹腔镜胃癌D2根治术中严格遵循无瘤操作技术原则,可有效减少肿瘤细胞的医源性种植扩散,对提高患者预后和延长无瘤生存期有重要意义。
Objective ： To investigate the value of tumor - free technique in laparoscopic gastrectomy with D2 lymph nodes dissection. Methods： To retrospectively analyze the clinical data of 80 patients with advanced gastric cancer in January 2012 to June 2013 a standard laparoscopic gastrectomy with D2 lymph nodes dissection and strictly implement the tumor - free technique. Results ： Laparoscopic gastrectomy with D2 lymph nodes dissection and strictly implement tumor -free technique was used to treat 80 patients with advanced gastric cancer,64 patients were followedup for 6 to 24 months （mean 12.8 months） ,abdominal incision and stamp card hole had not been found tumor cells planting metastasis. However,2 cases postoperatively 12 months had spread to the liver and other organs,3 cases of re- currence of postoperative abdominal metastases in 24 months, 1 case of anastomotic recurrence occurred. Conclusion： Laparoscopic gastrectomy with D2 lymph nodes dissection and strictly implement the tumor -free technique can effec- tively reduce the iatrogenic planting spread of tumor cells and has an important significance to improve the prognosis of patients and prolong the tumor - free survival period.
出处
《现代肿瘤医学》
CAS
2015年第4期509-511,共3页
Journal of Modern Oncology
基金
甘肃省自然科学基金(编号:1208RJZA253)
关键词
胃癌
腹腔镜
无瘤技术
gastric cancer
laparoscopic
tumor - free technique
