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目的探讨腹腔镜辅助下行早期远端胃癌根治的手术方法和手术适应证。方法对7例早期胃癌患者行腹腔镜辅助下胃癌根治术的临床资料进行回顾性分析。结果7例患者均顺利完成手术,无中转开腹。手术时间平均190min;术中出血量平均150ml;术后排气时间平均51h。均于术后6-9d出院。无手术及术后并发症。术后随访平均10个月,未见肿瘤复发迹象。结论腹腔镜辅助下早期远端胃癌根治安全、可行,近期效果满意。
Objective To investigate the surgical methods and surgical indications for laparoscopically assisted radical surgery for distal distal gastric cancer. Methods The clinical data of 7 cases of early gastric cancer undergoing laparoscopic-assisted radical gastrectomy were analyzed retrospectively. Results All the 7 patients completed the operation smoothly without laparotomy. The average operation time was 190 minutes. The average amount of blood loss during operation was 150 ml. The average postoperative exhaust time was 51 hours. All patients were discharged at 6-9 days after operation. No surgery and postoperative complications. After an average follow-up of 10 months, no signs of tumor recurrence. Conclusions Laparoscopic assisted early radical cure of distal gastric cancer is safe and feasible, with satisfactory results in the near future.