CAJ | 학술논문

目的：对手辅助腹腔镜胃癌根治性切除术的可行性及临床治疗进行分析与探讨。方法选取30例2011年4月~2013年4月在本院接受全胃切除术的胃癌患者,对其临床资料进行回顾性分析。结果30例胃癌患者均实施了手辅助腹腔镜胃癌根治性切除术。患者上腹部手术切口平均长度为(6.79±1.3)cm,平均手术时间为(168±19)min,平均腹腔镜手术时间为(31±11)min,实施手术过程中,患者出血量平均为(228.57±32.1)ml,平均清扫(17.64±4.1)枚淋巴结,患者平均出院时间为手术治疗后的(1.5±9)d。所有患者均未发生切口感染、出血以及吻合口漏等手术并发症。结论研究表明,手辅助腹腔镜胃癌根治性切除术在清扫淋巴结数目与范围上均可以达到胃癌术操作要求,具有非常好的治疗安全性,值得临床应用与推广。
목적：대수보조복강경위암근치성절제술적가행성급림상치료진행분석여탐토。방법선취30례2011년4월~2013년4월재본원접수전위절제술적위암환자,대기림상자료진행회고성분석。결과30례위암환자균실시료수보조복강경위암근치성절제술。환자상복부수술절구평균장도위(6.79±1.3)cm,평균수술시간위(168±19)min,평균복강경수술시간위(31±11)min,실시수술과정중,환자출혈량평균위(228.57±32.1)ml,평균청소(17.64±4.1)매림파결,환자평균출원시간위수술치료후적(1.5±9)d。소유환자균미발생절구감염、출혈이급문합구루등수술병발증。결론연구표명,수보조복강경위암근치성절제술재청소림파결수목여범위상균가이체도위암술조작요구,구유비상호적치료안전성,치득림상응용여추엄。
Objective To analyze and discusse the feasibility and clinical treatment of hand assisted laparoscopic radical resection. Methods Selected 30 patients who received total gastrectomy for gastric cancer patients in our hospital from April 2011 to April 2013, the clinical data were retrospectively analyzed. Results Of 30 gastric cancer patients underwent radical resection of hand assisted laparoscopic gastric cancer. The average length of patients with abdominal operation incision was (6.79±1.3) cm, the mean operation time was (168 ± 19) min, the mean operation time for laparoscopic surgery (31±11) min, the process of the implementation of operation, bleeding volume averaged (228.57±32.1) ml, (17.64±4.1) average dissection of lymph node, average discharge time for operation after treatment (1.5±9) d. All patients had no infection, hemorrhage and the operation complications such as anastomotic leakage. Conclusion Hand assisted laparoscopic radical resection for gastric cancer can reach the gastric cancer operation requirements on the number of lymph node and scope, with safety in the treatment of very good, worthy of clinical application and promotion.