CAJ | 학술논문

目的探讨腹腔镜远端胃癌根治术术后近期疗效.方法 2008年1月至2010年10月,对我院29例胃窦部及胃体下1/2的胃癌患者行腹腔镜远端胃癌根治术,比较腹腔镜与传统开腹远端胃癌手术术后近期疗效.结果 28例成功实行LADG术,1例行剖腹探查.LADG组手术时间(253.1±32.6)min,ODG组(179.4±39.5)min;LADG组术中出血量(268.5±101.4)ml,ODG组(415.9±176.1)ml;LADG组患者术后首次排气时间为(2.1±0.6)d,ODG组为(3.5±0.4)d;LADG组患者切口长度为(5.6±1.6)cm,ODG组为(11.4±1.8)cm;LADG患者总住院天数为(10.6 4±2.4)d,ODG组为(12.1±2.9)d;IADG组所检测出淋巴结数量为(34.5±5.2)枚,ODG组为(36.8 ±6.1)枚.结论腹腔镜远端胃癌根治术安全可行,近期具有小切口、出血少、术后疼痛轻、胃肠功能恢复快、住院天数少等优点.
목적 탐토복강경원단위암근치술술후근기료효.방법 2008년1월지2010년10월,대아원29례위두부급위체하1/2적위암환자행복강경원단위암근치술,비교복강경여전통개복원단위암수술술후근기료효.결과 28례성공실행LADG술,1례행부복탐사.LADG조수술시간(253.1±32.6)min,ODG조(179.4±39.5)min;LADG조술중출혈량(268.5±101.4)ml,ODG조(415.9±176.1)ml;LADG조환자술후수차배기시간위(2.1±0.6)d,ODG조위(3.5±0.4)d;LADG조환자절구장도위(5.6±1.6)cm,ODG조위(11.4±1.8)cm;LADG환자총주원천수위(10.6 4±2.4)d,ODG조위(12.1±2.9)d;IADG조소검측출림파결수량위(34.5±5.2)매,ODG조위(36.8 ±6.1)매.결론 복강경원단위암근치술안전가행,근기구유소절구、출혈소、술후동통경、위장공능회복쾌、주원천수소등우점.
Objective To compare the short-term efficacy of laparoscopic-assisted verus open distal gastrectomy for gastric cancer. Methods The data of 29 patients with distal gastric cancer from January 2008 to October 2010 were analyzed. Results Twenty-eight underwent laparoscopic-assisted distal gastrectomy while 1 was switched to open surgery. The operative duration was (253. 1 ± 32. 6) min and the blood loss volume (268.5 ± 101.4) ml. The postoperative recovery time of gastrointestinal peristalsis was (2. 1 ± 0. 6) d. The length of incision was (5.6 ±1.6) cm, the hospital stay duration (10. 6 ±2. 4) d and the number of dissected lymph nodes (34. 5 ± 5. 2 ). Conclusion Laparoscopic-assisted distal gastrectomy for gastric cancer is both safe and feasible. And it offers many advantages of minimal invasion, less pain and shorter hospital stay.