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目的总结吸引器在腹腔镜胃癌根治术中的应用体会。方法回顾性分析2014年7月~2016年6月,我院512例腹腔镜胃癌根治术患者的临床和手术资料。结果本组患者平均体质量指数(BMI)为(22.8±3.5)kg/m~2(17.6~30.2 kg/m~2,),其中超重和肥胖98例(BMI≥24kg/m~2)。术中清扫胃主要供应血管周围淋巴结时,一助右手持吸引器配合左手持肠钳来暴露术野、及时吸除气液进而提供良好术野。手术时间100~180分钟,平均(135±30)分钟。术中出血量50~200ml,平均(100±50)ml。中转开腹率为2.15%。术中未发生严重并发症。结论腹腔镜胃癌根治术中,尤其是针对超重和肥胖患者,一助熟练运用吸引器吸引、提拉、戳剥等功能,可提供良好的手术视野,降低手术难度,有效控制出血,缩短手术时间,减少中转开腹率。
Objective To summarize the application of aspirator in laparoscopic radical gastrectomy. Methods From July 2014 to June 2016, the clinical and surgical data of 512 patients undergoing laparoscopic radical gastrectomy for gastric cancer in our hospital were retrospectively analyzed. Results The mean body mass index (BMI) in this group was (22.8 ± 3.5) kg / m ~ 2 (17.6-30.2 kg / m ~ 2), 98 of them were overweight and obese (BMI≥24kg / m ~ 2). Surgery, the main supply of gastric peristalsis around the lymph nodes, a right hand-held suction device with the left hand with intestinal forceps to expose the surgical field, timely suction gas and liquid to provide a good field. The operation time was 100-180 minutes with an average of (135 ± 30) minutes. Intraoperative bleeding 50 ~ 200ml, the average (100 ± 50) ml. The rate of laparotomy was 2.15%. No serious complications occurred during surgery. Conclusion Laparoscopic radical gastrectomy, especially for overweight and obesity patients, a help skilled use of suction to attract, pull, stamping and other functions, can provide a good field of vision, reduce the difficulty of surgery, effectively control bleeding, shorten the operation time, Reduce the conversion rate of laparotomy.