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目的探讨腹腔镜辅助胃癌根治术的临床疗效。方法回顾性分析2005年5月至2010年2月北流市人民医院施行腹腔镜辅助胃癌根治术20例患者的临床资料。结果 20例均顺利完成手术,其中行腹腔镜辅助远端胃大部切除术15例,近端胃大部切除2例,全胃切除3例。术后发生切口和肺部感染各1例,经对症处理后治愈,无一例发生吻合口出血或梗阻、吻合口瘘、十二指肠残端瘘等严重并发症。结论腹腔镜辅助胃癌根治术具有创伤小、出血量少、恢复快、并发症少等优点,是早期胃癌及部分无远处转移病灶进展期胃癌安全、可行、有效的治疗方法。
Objective To investigate the clinical efficacy of laparoscopic-assisted radical gastrectomy. Methods The clinical data of 20 patients undergoing laparoscopic-assisted radical gastrectomy from May 2005 to February 2010 in Beiliu Peoples Hospital were retrospectively analyzed. Results All the 20 cases were successfully performed. Among them, laparoscopic assisted distal gastrectomy in 15 cases, proximal gastrectomy in 2 cases and total gastrectomy in 3 cases. One case of incision and pulmonary infection occurred after operation, and was cured after symptomatic treatment. None of them had any serious complications such as anastomotic bleeding or obstruction, anastomotic leakage and duodenal stump fistula. Conclusions Laparoscopic assisted radical gastrectomy is a safe, feasible and effective treatment for early stage gastric cancer and advanced gastric cancer with distant metastasis, with less trauma, less bleeding, faster recovery and less complications.