腹腔镜辅助下胃癌根治术盲点及对策

J4 ›› 2016, Vol. 1 ›› Issue (10): 43-45.

腹腔镜辅助下胃癌根治术盲点及对策

（大理大学第一附属医院普外二科，云南大理671000）

收稿日期:2015-11-30 修回日期:2016-06-21 出版日期:2016-10-15 发布日期:2016-10-15
作者简介:杨继武，教授，主要从事普通外科基础与临床研究.

Blind Spot of Radical Gastrectomy Assisted by Laparoscopy and Countermeasures

（Department of General Surgery, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China）

Received:2015-11-30 Revised:2016-06-21 Online:2016-10-15 Published:2016-10-15

摘要/Abstract

摘要：

目的：总结腹腔镜辅助下胃癌根治术的临床疗效。方法：选择大理大学第一附属医院收治的60例胃癌患者研究，其中
30例采取腹腔镜辅助下胃癌根治术作为观察组；另30例采取开腹胃癌根治术作为对照组；对两组的临床效果及术后并发症等
研究。结果：观察组在手术切口长度、术中出血量、术后排气时间、术后肠功能恢复时间、术后进流食时间、住院时间、术后并发
症等方面的表现均优于对照组，差异有统计学意义（P<0.05）。结论：腹腔镜辅助下胃癌根治术具有创伤小、术后恢复快、术后
并发症少等优势，较开腹胃癌根治术优势明显，在临床上值得推广。

关键词: 腹腔镜, 胃癌根治术, 治疗体会

Abstract:

Objective: To summarize the clinical effect of radical gestretomy assisted by laparoscopy. Methods: 60 patients with
gastric cancer in the first affiliated Hospitals of Dali University were studied, including 30 cases took radical gestretomy assisted by
laparoscopy as the observation group; other 30 cases took the open radical gestretomy as control group. Clinical effects and
complications of two groups were studied. Results: Observation group is better than that of control group in the incision length,
intraoperative blood loss, postoperative exhaust time, postoperative intestinal function recovery time and postoperative into liquid diets
time, length of hospital stay, and the postoperative complications, and the difference was statistically significant （P < 0.05）.
Conclusion: Radical gestretomy assisted by laparoscopy enjoys many advantages comparing with open radical gestretomy: small
trauma, fast recovery, less postoperative complications, which is worth of popularization in clinical surgery.

Key words: laparoscopy, radical gestretomy, treatment experience

中图分类号:

R735.2

杨继武，程伟，赵鹏举. 腹腔镜辅助下胃癌根治术盲点及对策[J]. J4, 2016, 1(10): 43-45.

Yang Jiwu, Cheng Wei, Zhao Pengju. Blind Spot of Radical Gastrectomy Assisted by Laparoscopy and Countermeasures[J]. J4, 2016, 1(10): 43-45.

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