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目的探讨腹腔镜下胃癌根治术的手术方法及临床疗效。方法对32例腹腔镜胃癌根治术患者的临床资料,就其临床开展情况进行分析讨论。结果患者32例,均实行腹腔镜辅助胃癌根治术式。手术时间160~210 min,术中出血量120~210 ml。术后病理:切缘均未见癌细胞。本组平均清除淋巴结19~23枚,第一站淋巴结阳性率为58.6%,第二站淋巴结阳性率为29.1%。32例术后均恢复良好,无严重并发症发生,均顺利出院。结论腹腔镜胃癌根治术具有创伤小,恢复快,并发症少等优点,是一种安全、有效的手术方法。
Objective To investigate the surgical method and clinical efficacy of laparoscopic radical gastrectomy. Methods The clinical data of 32 patients with laparoscopic radical gastrectomy were analyzed and discussed. Results 32 patients were implemented laparoscopic radical gastrectomy. The operative time ranged from 160 to 210 minutes with an intraoperative blood loss of 120 to 210 ml. Postoperative pathology: No margins of cancer cells. The average removal of lymph nodes 19 to 23, the first station lymph node positive rate was 58.6%, the second station lymph node positive rate was 29.1%. All 32 patients recovered well without serious complications and were discharged smoothly. Conclusion Laparoscopic radical gastrectomy has the advantages of less trauma, faster recovery and less complications, which is a safe and effective surgical method.