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目的探讨腹腔镜胃癌根治术治疗部分进展期胃癌的可行性和效果。方法对9例进展期胃癌患者的临床资料进行分析,其中根治性远侧胃次全切除术8例,根治性近侧胃次全切除术1例。结果9例患者无中转开腹,平均手术时间(260±109)min,平均术中出血量(120±42)ml,平均淋巴结清除数(5.7±2.2)枚,切缘距肿瘤平均长度(6.3±0.5)cm,平均术后进食时间(5.8±2.1)d,平均术后住院天数(12.5±3.4)d,未发生吻合口漏、十二指肠残端漏及死亡。结论腹腔镜胃癌根治术治疗部分进展期胃癌在技术上是可行的,近期疗效良好,远期疗效有待进一步研究。
Objective To investigate the feasibility and effectiveness of laparoscopic radical gastrectomy for advanced gastric cancer. Methods The clinical data of 9 patients with advanced gastric cancer were analyzed. Among them, radical radical gastrectomy was performed in 8 cases and radical gastrectomy was performed in 1 case. Results The average length of operation (260 ± 109) min, mean operative blood loss (120 ± 42) ml and mean lymph node clearance (5.7 ± 2.2) ± 0.5) cm, average postoperative eating time (5.8 ± 2.1) d, average postoperative hospital stay (12.5 ± 3.4) days, no anastomotic leak, duodenal stump leakage and death. Conclusions Laparoscopic radical gastrectomy for advanced gastric cancer is technically feasible. The recent curative effect is good. Long-term curative effect remains to be further studied.