关键词: 胃肿瘤, 全胃切除术, 腹腔镜, 消化道重建

Abstract:

Objective To evaluate the safety and efficacy of total laparoscopy in radical gastrectomy. Methods A retrospective study was done on clinical data and follow up of 8 cases treated with laparoscopic radical gastrectomy with π?shaped esophagojejunal anastomosis. Results Total laparoscopy in radical gastrectomy was successfully performed for 8 patients. No case was converted to open surgery. No intraoperative death occurred. The mean operation time, blood loss, postoperative hospital stay were （292±32）min, （75±35）ml, （15±2）days, respectively. There was no postoperative complications. All patients were followed up for 3 to 12 months. No local recurrence or distant metastase was found. No car? cinoma was implanted in the trocar holes. Conclusions Total laparoscopy in radical gastrectomy is feasible and safe and has a favorable short term outcome.

Key words: stomach neoplasms, laparoscopy, gastrectomy, digestive tract reconstruction