CAJ | 학술논문

目的：探讨腹腔镜辅助胃癌根治术的安全性、可行性和疗效。方法：回顾性分析2009年9月-2012年12月在笔者所在医院接受腹腔镜辅助胃癌根治术的43例患者的临床资料。结果：43例行腹腔镜辅助远端胃癌根治术32例，腹腔镜辅助根治性全胃切除11例。平均手术时间(247±39)min，术中出血量(182±43)ml，清扫淋巴结数(21±4)枚。无手术死亡病例，术后并发症发生率8.70%。随访9~56个月，中位随访时间32个月，随访期间死亡16例，1、2、3年总生存率分别为96.04%、76.60%和52.92%。结论：腹腔镜辅助胃癌根治术安全可行，能够取得良好的疗效。
목적：탐토복강경보조위암근치술적안전성、가행성화료효。방법：회고성분석2009년9월-2012년12월재필자소재의원접수복강경보조위암근치술적43례환자적림상자료。결과：43례행복강경보조원단위암근치술32례，복강경보조근치성전위절제11례。평균수술시간(247±39)min，술중출혈량(182±43)ml，청소림파결수(21±4)매。무수술사망병례，술후병발증발생솔8.70%。수방9~56개월，중위수방시간32개월，수방기간사망16례，1、2、3년총생존솔분별위96.04%、76.60%화52.92%。결론：복강경보조위암근치술안전가행，능구취득량호적료효。
Objective:To explore the safety,feasibility and efficacy of laparoscopy-assisted radical gastrectomy for gastric cancer.Method:The clinical data of 43 patients with gastric cancer undergoing laparoscope-assisted radical gastrectomy from September 2009 to December 2012 were analyzed retrospectively. Result:Among 43 patients,32 cases were performed laparoscope-assisted radical distal gastrectomy and 11 cases were completed laparoscope-assisted radical total gastrectomy.The average operative time was (247±39)min,blood loss was (182±43)ml,and the number of lymph node dissected was (21±4).None suffered from operative deaths,and the rate of postoperative complication was 8.70%.The medium follow-up was 32 months(range 9-56 months),and the overall 1,2, 3-year survival rates were 96.04%,76.60% and 52.92%.Conclusion:The laparoscopy-assisted radical gastrectomy is feasible and safe,has a good effect.