论文部分内容阅读
目的探究并分析腹腔镜下辅助全胃切除及脏器联合切除治疗胃癌的临床效果及安全性。方法回顾性分析30例进展期胃癌患者的临床资料,该组患者均采用了腹腔镜下辅助全胃切除及脏器联合切除治疗,观察其治疗效果。结果该组患者平均手术时间为(254.34±41.89)min,平均术中出血量为(375.45±23.78)ml,平均住院时间为(13.23±2.45)d。术后发生肺部感染4例,占13.33%,胰瘘5例,占16.67%,经过对症治疗及通畅引流后均痊愈,该组患者中无一例发生腹腔出血或吻合口瘘及肿瘤转移或死亡。结论采用腔镜下辅助全胃切除及脏器联合切除治疗胃癌的临床效果显著,安全性较高,值得推广。
Objective To investigate and analyze the clinical effect and safety of laparoscopic assisted total gastrectomy and organ resection in the treatment of gastric cancer. Methods The clinical data of 30 patients with advanced gastric cancer were retrospectively analyzed. The patients underwent laparoscopic assisted total gastrectomy and organ resection and the therapeutic effect was observed. Results The mean operative time was (254.34 ± 41.89) min. The mean intraoperative blood loss was (375.45 ± 23.78) ml. The mean length of stay was (13.23 ± 2.45) days. Postoperative pulmonary infection in 4 cases, accounting for 13.33%, 5 cases of pancreatic fistula, accounting for 16.67%, after symptomatic treatment and unobstructed drainage were cured, none of the patients in this group had celiac hemorrhage or anastomotic leakage and tumor metastasis or death . Conclusions Endoscopic assisted total gastrectomy and organ combined resection of gastric cancer have significant clinical effects, high safety and worthy of promotion.