腹腔镜辅助在小切口下胃癌D2根治术中的应用价值

摘要/Abstract

摘要： 目的探讨腹腔镜辅助在小切口下胃癌D2根治术中的应用价值。方法回顾分析30例患者行腹腔镜辅助在小切口下胃癌D2根治术的临床资料。结果 30例均顺利完成腹腔镜辅助小切口胃癌D2根治术，无中转开腹。根治性近端胃大部切除8例，手术时间（231±21）min，术中出血量（163±23）mL；根治性全胃切除6例，手术时间（322±25）min，术中出血量（320±28）mL。根治性远端胃大部切除16例，手术时间（203±26）min。结论腹腔镜辅助在小切口下胃癌D2根治术在保留腹腔镜手术微创优点的同时降低了全腹腔镜胃癌根治术的手术难度，获得开腹手术相当的临床疗效。具有良好的床应用价值。

关键词: 腹腔镜, 胃癌根治术, D2淋巴结清扫

Abstract: Objective To study the Laparoscopic lending support to at small bottom stomach cancer D2 slicing a people cure for give to better. Methods The review analyzes 30 sufferers to go Laparoscopic assistance at small bottom stomach cancer D2 slicing a people cure for good the clinical data of better. Results All the 30 complete Laparoscopic to lend support to smoothly small the stomach cancer D2 slicing a people cure for give to better and have no medium turn to open stomach.Cure for good sex near the big department carrying stomach cut off 8, surgical operation time(231 ± 21) min, bleed quantity(163 ± 23) mL in the Shu;Curing for good sex whole stomacheses to cut off is 6, surgical operation time(322 ± 25) min, bleed quantity(320 ± 28) mL in the Curing stomach of sex to cut off is 16, surgical operation time(203 ± 26) clusion:Laparoscopic assistance at small bottom stomach cancer D2 slicing a people cure for better at reserve Laparoscopic the surgical operation is tiny the mirror stomach cancer creating the at the same time lowering of the advantage whole belly cavity cure for good the surgical operation difficulty of Shu, be opened stomach surgical operation very clinical curative effect.Give a Better to apply value.

中图分类号:

R735.2

陈上保. 腹腔镜辅助在小切口下胃癌D2根治术中的应用价值[J]. 岭南现代临床外科, 2011, 11(04): 248-250.

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