摘要
目的探讨手辅助腹腔镜治疗残胃癌的可行性和优越性。方法回顾性分析成都军区总医院2007年12月至2016年5月期间收治的26例行残胃癌根治术患者的临床资料,其中采用手辅助腹腔镜(手辅助组)13例,采用开腹(开腹组)13例,比较2组患者在手术效果方面的差异。结果手辅助组13例无中转开腹,术中无副损伤。与开腹组比较,手辅助组手术切口长度明显缩小(P=0.000),术中出血量明显减少(P=0.038),术后首次肛门排气时间明显缩短(P=0.025),2组间手术时间及淋巴结清扫数目比较差异无统计学意义(P>0.05)。手辅助组与开腹组术后出现轻微并发症各2例,均经治疗后治愈。2组在围手术期无吻合口漏、腹腔大出血、消化道大出血等严重并发症发生,无死亡病例。结论从本组有限的数据初步得出,行手辅助腹腔镜残胃癌根治术是安全、可行的,与开腹手术比较,具有手术切口小、术中出血最少、术后恢复快、近期康复效果好等优点。
Objective To explore feasibility and advantages of hand-assisted laparoscopic radical resection for remnant gastric cancer. Methods The clinical data of 26 patients with remnant gastric cancer who underwent hand- assisted laparoscopic （hand-assisted group, n=13） or open （open group, n= 13 ） radical resection from December 2007 to May 2016 in this hospital were retrospectively analyzed. The perioperative outcomes were compared between these two groups. Results There was no conversion to open surgery in the hand-assisted group. Compared with the open group, the incision length was significantly reduced （P=0.000）, the intraoperative blood loss was significantly decreased （P=0.038）, postoperative the first anal exhaust time was significantly shortened （P=0.025） in the hand-assisted group. The operation time, the number of lymph nodes dissection, and the incidence of postoperative complications had no statistically significant differences between these two groups （P〉0.05）. Conclusions The preliminary results of limited cases in this study show that hand-assisted laparoscopic radical resection for remnant gastric cancer is safe and feasible, it has several advantages including small incisions, mild intraoperative hemorrhage, rapid postoperative recovery, better recent clinical therapeutic outcome and so on as compared with open surgery.
出处
《中国普外基础与临床杂志》
CAS
2016年第11期1358-1361,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
手辅助腹腔镜
开腹手术
残胃癌
胃癌根治术
Hand-assisted laparoscope
Open surgery
Remnant gastric cancer
Radical gastrectomy
