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目的回顾性分析腹腔镜辅助下胃癌根治术的疗效。方法 35例进展期胃癌患者施行了腹腔镜辅助下胃癌根治术,术后随访(11.8±5.9)个月。结果 35例患者均成功完成腹腔镜手术,其中,行远端胃大部切除(毕Ⅱ)式18例,近端胃大部切除2例,全胃切除14例,全胃切除+脾切除1例。手术时间(178.9±25.7)min,所有标本均为R0切除,清除淋巴结(14.6±3.7)枚,无手术死亡病例。术后通气时间(3.6±0.7)d,住院时间(9.7±1.6)d。总体并发症发生率14.3%。出现腹腔内转移2例(2.9%)。1年生存率97.1%,无瘤生存率94.3%。结论腹腔镜辅助下胃癌根治术是安全可行的,能达到根治性切除。
Objective To retrospectively analyze the effect of laparoscopic-assisted radical gastrectomy. Methods Totally 35 patients with advanced gastric cancer underwent laparoscopic radical gastrectomy and were followed up for 11.8 ± 5.9 months. Results All 35 patients underwent laparoscopic surgery successfully. Among them, 18 patients underwent distal gastrectomy (complete Ⅱ type), 2 patients underwent proximal gastrectomy, 14 patients underwent total gastrectomy, total gastrectomy plus splenectomy 1 example. The operation time (178.9 ± 25.7) min, all specimens were R0 resection, clear the lymph nodes (14.6 ± 3.7) pieces, no surgical deaths. Postoperative ventilation time (3.6 ± 0.7) d, hospital stay (9.7 ± 1.6) d. The overall complication rate was 14.3%. Intraperitoneal metastases occurred in 2 cases (2.9%). The 1-year survival rate was 97.1%, and the tumor-free survival rate was 94.3%. Conclusion Laparoscopic assisted radical gastrectomy is safe and feasible, and can achieve radical resection.