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目的探讨手助腹腔镜技术在胃癌根治术中的可行性。方法回顾性分析2例手助腹腔镜胃癌(贲门癌)根治术患者的临床相关资料,包括手术时间、手术相关并发症、术中出血量、手术清扫淋巴结数目、术后并发症、肠道功能恢复时间、术后住院时间等。结果 2例手术均获成功,分别施行手助腹腔镜根治性全胃切除术及远端胃大部切除术,手术时间分别为310 min和220 min,无手术相关并发症,术中出血量分别为120 ml和80 ml,手术清扫淋巴结数目分别为38枚和52枚,术后无继发性出血、肠瘘、吻合口漏等并发症,2例患者术后顺利恢复出院。结论手助腹腔镜胃癌根治手术是安全、可行的,但还有待进一步评估。
Objective To explore the feasibility of hand-assisted laparoscopy in radical resection of gastric cancer. Methods The clinical data of 2 patients with hand-assisted laparoscopic radical gastrectomy (cardia cancer) were retrospectively analyzed, including operation time, operation-related complications, intraoperative blood loss, number of lymph nodes dissected, postoperative complications, intestinal function Recovery time, postoperative hospital stay. Results All the 2 surgeries were successful, and hand-assisted laparoscopic radical total gastrectomy and distal gastrectomy were performed respectively. The operative time was 310 min and 220 min, respectively. There was no operative complications and blood loss 120 ml and 80 ml respectively. The number of lymph node dissection was 38 and 52 respectively. No postoperative complications such as secondary hemorrhage, intestinal fistula and anastomotic leakage were found, and 2 patients recovered smoothly after operation. Conclusions Hand-assisted laparoscopic radical gastrectomy is safe and feasible, but it needs further evaluation.