期刊文献+

超声刀应用于腹腔镜胃癌D2根治术110例临床分析

Application of ultrasonically activated shears in laparoscopic D2 curative gastrectomy for 110 patients with gastric cancer
下载PDF
导出
摘要 目的:探讨超声刀在腹腔镜胃癌D2根治术中使用效果和技巧。方法回顾性分析2012年6月至2013年3月我院采用超声刀的腹腔镜胃癌D2根治术110例患者的临床资料。结果全组无中转开腹,无手术死亡病例,均顺利完成手术。手术时间为170~225 min ,平均205 min;淋巴结清扫数目为19~38枚,平均28枚;术中出血量为50~350 mL ,平均150mL ;术后3d腹腔总引流量为20~150mL,平均65mL ;术后肠道功能恢复时间为3~5d,平均4.1d;住院时间为6~9d,平均7.5d。结论超声刀运用于腹腔镜胃癌D2根治术安全、有效。 Objective To study the effect and surgical skill of ultrasonically activated shears in laparoscopic radical gas‐trectomy (D2) for patients with gastric cancer . Methods Clinical data and results of 110 patients underwent laparoscopic D2 radical gastrectomy with ultrasonically activated shears from June 2012 to Mar 2013 were collected and studied . Results The programs were completed in all the cases without conversion and dead .The operating times were 170‐225min ,mean 205 min . Lymph nodes in resected specimen were (19‐38 ,mean 28) .The operative blood loss was 50‐350 mL ,mean 150 mL .Return times of bowel function were 3‐5 d ,mean 4.1 d .Length of stay was 6‐9 d ,mean 7.5 d .Conclusion Laparoscopic D2 radical gastrectomy with ultrasonically activated shears is safe and effective method .
出处 《福建医药杂志》 CAS 2015年第5期7-9,共3页 Fujian Medical Journal
关键词 腹腔镜 超声刀 胃癌 laparoscopy ultrasonically activated shear gastric cancer
  • 相关文献

参考文献6

  • 1Ludwig K, Scharlau U, Schneider-Koriath S, et al. Minimally invasive gastric surgery [J]. Chirurg, 2012, 83 (1): 16-22.
  • 2Parkdo J, Han S U, Hyung W J, et al. Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric eaneer: a large-scale multicenter retrospective study [J]. Surg Endosc, 2012, 26 (6): 1548-1553.
  • 3Sukhin I A, Sosnin M D, Boiko A I, et al. Clinical application of harmonic scalpels of various type in laparoscopic surgery[J].Klin Khir, 2012, 16 (11): 62-64.
  • 4Mohri Y, Tonouchi H, Tanaka K, et al. Ultrasonically activa- ted shears in gastrectomy for large gastric cancers [J].Surg Today, 2007, 37 (12).. 1060-1063.
  • 5Choi M G, Oh S J, Noh J H, et al. Ultrasonically activated shears versus electrocautery in open gastrectomy for gastric cancer: a randomized controlled trial [J]. Gastric Cancer, 2014, 17 (3): 556-561.
  • 6Tsimoyiannis E C, Jabarin M, Tsimoyiannis JC, et al. Ultra- sonically activated shears in extended lymphadenectomy for gas- tric cancer [J]. World J Surg, 2002, 26 (2): 158-161.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部