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目的探讨腹腔镜根治术治疗进展期胃癌的疗效及安全性。方法回顾性分析2010年5月至2011年5月临床接受腹腔镜下胃癌根治性切除术患者50例,其中10例根治性全胃切除术,10例根治性近端胃癌根治术,30例根治性远端胃癌根治术。结果失血量为术中(212±86)ml,清扫淋巴结(20.7±9.7)枚,术后肠道功能恢复时间为(2.6±1.2)d。术后住院时间(12±5)d,手术时间(252±31)min。全部50例成功完成腹腔镜胃癌根治手术。术后随访1～54个月,2例例带瘤生存,其他未发现肿瘤复发或转移,无死亡病例。结论腹腔镜辅助胃癌根治术安全、可行;严格遵守肿瘤的手术原则,腹腔镜辅助胃癌根治术能够保持肿瘤的根治性,同时能体现手术的微创性。
Objective To investigate the efficacy and safety of laparoscopic radical mastectomy for advanced gastric cancer. Methods A retrospective analysis of 50 cases of patients undergoing laparoscopic radical gastrectomy from May 2010 to May 2011 was retrospectively analyzed. Among them, 10 cases were radical gastrectomy, 10 cases were radical gastrectomy and 30 cases were radical gastrectomy Radical surgery of distal gastric cancer. Results The blood loss was intraoperative (212 ± 86) ml and lymph node dissection (20.7 ± 9.7), and the postoperative recovery time of intestinal function was (2.6 ± 1.2) d. Postoperative hospital stay (12 ± 5) d, operative time (252 ± 31) min. All 50 cases successfully completed radical operation of laparoscopic gastric cancer. Followed up for 1 to 54 months postoperatively, 2 patients survived with tumor, others did not find tumor recurrence or metastasis, no deaths. Conclusions Laparoscopy-assisted radical gastrectomy is safe and feasible. Tightly observing the surgical principle of laparoscopic surgery, laparoscopic-assisted radical gastrectomy can maintain the radicality of the tumor and at the same time it can reflect the minimally invasive surgery.