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目的:探究腹腔镜辅助切除术治疗胃癌的临床疗效及安全性、可行性。方法:回顾性分析2012年3月至2014年9月到我院就诊并行腹腔镜辅助切除术进行治疗的130例胃癌患者。结果:130例患者均顺利完成手术,其中31例全胃切除,20例近端胃大部切除,79例远端胃大部切除。手术平均时间(289.71±62.47)min,手术平均出血量(147.54±89.49)ml,切口平均长度(5.57±1.02)cm,清扫淋巴结平均数量(28.32±8.97)个。术后住院平均(9.63±3.48)天;肛门排气平均(3.94±2.09)天。术后36个月,122(93.85%)无瘤生存,7例发生吻合口出血、刀口感染等并发症。结论:腹腔镜辅助切除术治疗胃癌创口小、出血少、临床效果好且安全可行,值得进一步探究并在临床中加以推广应用。
Objective: To investigate the clinical efficacy, safety and feasibility of laparoscopic assisted resection for gastric cancer. Methods: A retrospective analysis of 130 patients with gastric cancer undergoing concurrent laparoscopic assisted resection in our hospital from March 2012 to September 2014 was retrospectively analyzed. Results: All 130 patients underwent successful surgery. Among them, 31 were total gastrectomy, 20 were proximal gastrectomy, and 79 were distal gastrectomy. The average operation time was (289.71 ± 62.47) min, the average amount of operation bleeding was (147.54 ± 89.49) ml, the average length of incision was 5.57 ± 1.02 cm and the average number of lymph nodes was 28.32 ± 8.97. The average postoperative hospital stay was (9.63 ± 3.48) days; the average discharge of the anus was (3.94 ± 2.09) days. 36 months after surgery, 122 (93.85%) had no tumor-free survival and 7 cases had anastomotic bleeding and knife-edge infection. Conclusions: Laparoscopic assisted resection for small gastric cancer, less bleeding, good clinical effect and safe and feasible, it is worth further exploration and clinical application.