CAJ | 학술논문

目的探讨3D高清腹腔镜在胃癌根治术中的临床应用价值.方法 2013年7至9月选取12例胃癌患者,进行3D腹腔镜辅助胃癌根治术(D2),其中6例行全胃切除,6例行远端胃切除;记录手术时间、术中出血量、淋巴结清扫数目、术后肛门排气时间、进食时间等近期疗效指标,对其特点及疗效做观察分析.结果本组12例患者均顺利完成3D腹腔镜辅助胃癌根治术(D2).病理类型:印戒细胞癌3例,低分化腺癌4例,中分化腺癌3例,高分化腺癌2例.手术时间为180～210 min,出血量50～150 ml,清扫淋巴结数目为32～54枚,术后肛门排气时间1～3d,术后进食流质时间4～5d,术后均无并发症发生.结论 3D高清腹腔镜能提供三维立体效果,实现精细化操作,使用3D腹腔镜行胃癌根治手术,能降低操作难度,并取得良好的近期疗效.
목적 탐토3D고청복강경재위암근치술중적림상응용개치.방법 2013년7지9월선취12례위암환자,진행3D복강경보조위암근치술(D2),기중6례행전위절제,6례행원단위절제;기록수술시간、술중출혈량、림파결청소수목、술후항문배기시간、진식시간등근기료효지표,대기특점급료효주관찰분석.결과 본조12례환자균순리완성3D복강경보조위암근치술(D2).병리류형:인계세포암3례,저분화선암4례,중분화선암3례,고분화선암2례.수술시간위180～210 min,출혈량50～150 ml,청소림파결수목위32～54매,술후항문배기시간1～3d,술후진식류질시간4～5d,술후균무병발증발생.결론 3D고청복강경능제공삼유입체효과,실현정세화조작,사용3D복강경행위암근치수술,능강저조작난도,병취득량호적근기료효.
Objective To explore the application of three-dimensional (3D) high-definition (HD) laparoscopy in radical operation for stomach carcinoma.Methods A total of 12 cases of radical operation for stomach carcinoma were performed under 3D laparoscopy.The procedures included total gastrectomy (n =6) and distal gastrectomy (n =6).The operative duration,intraoperative blood loss,number of lymph node harvested,postoperative first flatus day and time of food intake were recorded and analyzed.Results All cases were successfully operated without complications.The operative duration was 180-210 min,blood loss 50-150 rnl,number of lymph node harvested 32-54 and postoperative first faltus day 1-3 days.Also all cases could take fluids at Days 4-5 postoperation.Conclusion 3D laparoscopic radical operation for gastric cancer may be performed safely and effectively with decreased surgical difficulties.