目的探討手助腹腔鏡技術在胃癌根治術中的可行性。方法回顧性分析2例手助腹腔鏡胃癌(賁門癌)根治術患者的臨床相關資料,包括手術時間、手術相關并發(fā)癥、術中出血量、手術清掃淋巴結數(shù)目、術后并發(fā)癥、腸道功能恢復時間、術后住院時間等。結果2例手術均獲成功, 分別施行手助腹腔鏡根治性全胃切除術及遠端胃大部切除術,手術時間分別為310 min和220 min,無手術相關并發(fā)癥,術中出血量分別為120 ml和80 ml,手術清掃淋巴結數(shù)目分別為38枚和52枚,術后無繼發(fā)性出血、腸瘺、吻合口漏等并發(fā)癥,2例患者術后順利恢復出院。結論手助腹腔鏡胃癌根治手術是安全、可行的,但還有待進一步評估。
引用本文: 胡建昆,楊昆,陳心足,周總光,張波,陳志新,陳佳平. 手助腹腔鏡胃癌根治術2例報道. 中國普外基礎與臨床雜志, 2011, 18(5): 520-522. doi: 復制
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- 1. 王立明, 楊華, 張朝軍, 等. 手助式腹腔鏡結腸癌根治術40 例臨床分析 [J]. 中國普外基礎與臨床雜志, 2010, 17(4): 387388.
- 2. 李永雙, 金俊哲, 梁健, 等. 手助腹腔鏡脾切除加門奇靜脈斷流術對機體應激反應的影響 [J]. 中國普外基礎與臨床雜志, 2008, 15(12): 873876.
- 3. 詹茜, 沈柏用, 彭承宏, 等. 手助式腹腔鏡在肝臟切除中的價值 [J]. 腹腔鏡外科雜志, 2010, 15(11): 806810.
- 4. 日本胃癌學會編. 胃癌治療ガイドライン醫(yī)師用 (第3版) [M]. 東京: 金原出版社, 2010.
- 5. 日本胃癌學會編. 胃癌取扱い規(guī)約(第14 版) [M]. 東京: 金原出版社, 2010.
- 6. Kitano S, Iso Y, Moriyama M, et al. Laparoscopyassisted Billroth Ⅰ gastrectomy [J]. Surg Laparosc Endosc, 1994, 4(2): 146148.
- 7. Chen XZ, Hu JK, Yang K, et al. Shortterm evaluation of laparoscopyassisted distal gastrectomy for predictive early gastric cancer: a metaanalysis of randomized controlled trials [J]. Surg Laparosc Endosc Percutan Tech, 2009, 19(4): 277284.
- 8. Hosono S, Arimoto Y, Ohtani H, et al. Metaanalysis of shortterm outcomes after laparoscopyassisted distal gastrectomy [J]. World J Gastroenterol, 2006, 12(47): 76767683.
- 9. Memon MA, Khan S, Yunus RM, et al. Metaanalysis of laparoscopic and open distal gastrectomy for gastric carcinoma [J]. Surg Endosc, 2008, 22(8): 17811789.
- 10. Kim HH, Hyung WJ, Cho GS, et al. Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report-a phase Ⅲ multicenter, prospective, randomized Trial (KLASS Trial) [J]. Ann Surg, 2010, 251(3): 417420.
- 11. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncologyTM. Gastric Cancer V.2.2010 [M]. http://www.nccn.org/professionals/physician_gls/pdf/gastric.pdf, 2010622.
- 12. 韋佳明, 馬勝強, 黃林平. 手助腹腔鏡下胃部分切除2例 [J]. 中日友好醫(yī)院學報, 2005, 19(4): 245.
- 13. Chau CH, Siu WT, Li MK. Handassisted D2 subtotal gastrectomy for carcinoma of stomach [J]. Surg Laparosc Endosc Percutan Tech, 2002, 12(4): 268272.
- 14. Usui S, Inoue H, Yoshida T, et al. Handassisted laparoscopic total gastrectomy for early gastric cancer [J]. Surg Laparosc Endosc Percutan Tech, 2003, 13(5): 304307.
- 15. Kim YW, Bae JM, Lee JH, et al. The role of handassisted laparoscopic distal gastrectomy for distal gastric cancer [J]. Surg Endosc, 2005, 19(1): 2933.