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对2006年5月至2006年11月期间完成的12例腹腔镜辅助胃癌根治手术的临床资料进行回顾和总结。结果:全胃切除手术平均用时220 min,近端胃切除202.5 min,远端胃切除182.5 min;全胃切除术中平均出血量310 ml,近端胃切除290 ml,远端胃切除200 ml;术后患者平均胃肠功能恢复时间为91.4 h,平均下床活动时间为82.6 h;术后人均镇痛次数为0.17次;所有标本经病理检查,切缘皆阴性,平均清扫淋巴结14.8枚;无吻合口漏等并发症发生。认为使用腹腔镜辅以小切口可以完成胃癌根治手术,患者痛苦小、恢复快,但须加强淋巴结清扫。
The clinical data of 12 cases of laparoscopic-assisted radical gastrectomy performed between May 2006 and November 2006 were reviewed and summarized. Results: Total gastrectomy time was 220 min, proximal gastrectomy 202.5 min, distal gastrectomy 182.5 min; total gastrectomy mean blood loss 310 ml, proximal gastrectomy 290 ml, distal gastrectomy 200 ml; The average recovery time of gastrointestinal function was 91.4 h after operation, and the average ambulation time was 82.6 h. The average number of postoperative analgesia was 0.17. All the specimens were negative by pathology and the average number of lymph nodes was 14.8. Anastomotic leakage and other complications occurred. Believe that the use of laparoscopic assisted with a small incision to complete radical resection of gastric cancer, patients with small pain, faster recovery, but to strengthen lymph node dissection.