论文部分内容阅读
目的探讨完全腹腔镜下uncut Roux-en-Y吻合术在远端胃癌根治手术中应用的安全性及可行性。方法回顾性分析2016年2月~2017年5月潍坊市人民医院肿瘤外科实施的全腹腔镜远端胃癌D2根治术(Uncut Roux-en-Y吻合)35例临床资料。结果 35例患者手术全部在完全腹腔镜下进行,无中转开放病例,手术平均时间212.08±24.66min,淋巴结清扫总数31.5±9.2枚,消化道重建时间55.72±12.20min,术中平均失血为60.72±26.07ml,术后平均排气时间3.91±0.84d,进食半流质时间4.89±0.61d,手术后平均住院7.58±0.89d。2例患者出现术后并发症,予以保守治疗后均好转出院,无其他相关术后并发症发生。结论完全腹腔镜下uncut Roux-en-Y吻合术式安全可行,具有视野清晰、原位操作、切口小、恢复快等优点。
Objective To investigate the safety and feasibility of complete laparoscopic uncut Roux-en-Y anastomosis in radical surgery of distal gastric cancer. Methods The clinical data of 35 patients with D2 total distal laparoscopic distal gastric cancer (Uncut Roux-en-Y anastomosis) performed by Department of Oncology, Weifang People’s Hospital from February 2016 to May 2017 were retrospectively analyzed. Results All 35 patients underwent complete laparoscopic surgery. The mean operative time was 212.08 ± 24.66min, the total number of lymph node dissections was 31.5 ± 9.2, the duration of digestive tract reconstruction was 55.72 ± 12.20min and the mean intraoperative blood loss was 60.72 ± 26.07ml, average postoperative exhaust time 3.91 ± 0.84d, fed semi-liquid time 4.89 ± 0.61d, postoperative average hospitalization 7.58 ± 0.89d. Two patients had postoperative complications, which were all cured after conservative treatment. No other postoperative complications occurred. Conclusion The complete laparoscopic uncut Roux-en-Y anastomosis is safe and feasible. It has the advantages of clear vision, in situ operation, small incision and quick recovery.