CAJ | 학술논문

腹腔镜胃癌根治术已成为胃癌手术治疗的常用方式，手术的安全性和有效性达到开腹手术标准，术后胃排空障碍（术后胃瘫综合征）严重影响患者康复，延长住院时间，增加医疗花费。术后胃瘫综合征发生原因和机制目前尚无明确定论，腔镜胃癌根治术后胃排空障碍的发生率并未因微创操作而较开放手术减少。应用各种影像学检查方法不仅可以有助于确诊，也可排除机械性梗阻因素。采用术前恢复胃的张力、术中置入肠内营养通路、术后维持血糖和白蛋白水平等预防措施的意义重于治疗。
복강경위암근치술이성위위암수술치료적상용방식，수술적안전성화유효성체도개복수술표준，술후위배공장애（술후위탄종합정）엄중영향환자강복，연장주원시간，증가의료화비。술후위탄종합정발생원인화궤제목전상무명학정론，강경위암근치술후위배공장애적발생솔병미인미창조작이교개방수술감소。응용각충영상학검사방법불부가이유조우학진，야가배제궤계성경조인소。채용술전회복위적장력、술중치입장내영양통로、술후유지혈당화백단백수평등예방조시적의의중우치료。
Laparoscopic gastrectomy has become a common approach in gastric cancer surgery and could achieve equivalent clinical effects and safety as open gastrectomy. Postoperative delayed gastric emptying, also called postsurgical gastroparesis syndrome ( PGS), has a serious impact on recovery with prolonged hospitalization and increased medical cost.The pathogenesis of PGS is not clear till now. Compared to open gastrectomy, the incidence of PGS is not decreased by minimal invasion of laparoscopic radical gastrectomy.The application of various imaging examination methods could be helpful in the final diagnosis of PGS while excluding mechanical obstruction. Preventive managements could reduce the incidence of PGS, such as preoperative recovery of gastric tension, intra-operative insertion of nutrition feeding tube, postoperative maintenance of blood sugar level and albumin level.