CAJ | 학술논문

目的评价腹腔镜辅助D2根治术治疗进展期胃癌患者的临床疗效并总结相关经验.方法对2004年11月至2007年6月间于浙江大学医学院附属邵逸夫医院进行的腹腔镜辅助进展期胃癌D2根治术共计47例进行回顾性分析.结果本组47例患者均成功完成腹腔镜下D2根治术.手术时间200～420 min,平均(294±75)min.术中出血50～500 ml,平均(150±65)ml.淋巴结清扫数目15～48个,平均(32±22)个.术后胃肠道蠕动恢复时间2～6 d,平均(2.7±1.2)d.术后住院时间5～19 d,平均(9.0±3.5)d.术后肺部感染2例,切口感染1例,均经对症治疗后好转,无围手术期死亡病例.结论进展期胃癌施行腹腔镜D2根治术安全可行,近期具有切口美观、出血少、术后疼痛轻、胃肠功能恢复快、切口并发症率低等优点.
목적 평개복강경보조D2근치술치료진전기위암환자적림상료효병총결상관경험.방법 대2004년11월지2007년6월간우절강대학의학원부속소일부의원진행적복강경보조진전기위암D2근치술공계47례진행회고성분석.결과 본조47례환자균성공완성복강경하D2근치술.수술시간200～420 min,평균(294±75)min.술중출혈50～500 ml,평균(150±65)ml.림파결청소수목15～48개,평균(32±22)개.술후위장도연동회복시간2～6 d,평균(2.7±1.2)d.술후주원시간5～19 d,평균(9.0±3.5)d.술후폐부감염2례,절구감염1례,균경대증치료후호전,무위수술기사망병례.결론 진전기위암시행복강경D2근치술안전가행,근기구유절구미관、출혈소、술후동통경、위장공능회복쾌、절구병발증솔저등우점.
Objective To investigate the clinical effect of laparoseopie-assisted radical distal resection of invasive gastric cancer. Methods Forty-seven patients with advanced gastric cancer, 33 males and 14 females, aged 58. 2 ( 36 - 77 ), underwent laparoseopie-assisted radical resection and then were followed up for 17 months (2 -33 months). Results All the 47 patients survived. The operation time was (29±75) rain (200 -420 min). The blood loss was (150±65) ml (50 -500 ml). The number of dissected lymph nodes was (32.4 ± 22. 3 ) (15 -48 ). The gastrointestinal peristalsis recovery time after operation was (2.7±1.2) d (2 -6 d). The hospital stay time was (9.0±3.5) d (5 -19 d). Post- operational complications were seen in 3 cases: pulmonary infection in 2 cases and incision infection in 1 case, and all the 3 patients recovered well after proper treatment. Conclusion Laparoseopie-assisted radical resection of invasive gastric cancer is safe and feasible, with the advantages as minimal invasion, less pain, shorter hospital stay, faster bowel function recovery.