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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。
Objective To analyze the feasibility and clinical treatment of radical laparoscopic radical resection of laparoscopic gastric cancer. Methods Thirty patients with gastric cancer undergoing total gastrectomy in our hospital from April 2011 to April 2013 were retrospectively analyzed. Results All 30 cases of gastric cancer patients underwent hand-assisted laparoscopic radical gastrectomy. The average length of surgical incision in the upper abdomen was (6.79 ± 1.3) cm, the average operation time was (168 ± 19) min and the average laparoscopic operation time was (31 ± 11) min. During the operation, the average amount of bleeding was 228.57 ± 32.1) ml, with an average of 17.64 ± 4.1 lymph nodes. The average discharge time was (1.5 ± 9) days after operation. All patients had no incisional infection, bleeding and anastomotic leakage and other surgical complications. Conclusions The study shows that hand-assisted radical laparoscopic radical gastrectomy can achieve the operation requirements of gastric cancer in the number and range of lymph nodes dissection, and has very good therapeutic safety. It is worthy of clinical application and promotion.