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目的探讨手辅助腹腔镜胃癌根治性全切除术的临床治疗情况。方法随机选取贵港市中西医结合骨科医院2009年4月至2012年4月诊治的胃癌患者55例,观察术中、术后情况及并发症。结果 55例患者均成功实施手术,平均手术时间(225.5±25.9)min,术中出血量(187.8±22.1)min,手术淋巴结清扫数目(14.35±3.5)枚,术后住院时间(8.9±0.7)d,术后胃肠功能恢复时间(4.27±0.21)d,手术并发症:均未出现切口感染、出血、吻合口漏等并发症。结论手辅助腹腔镜胃癌根治性全切除术是一项安全可行的术式,基本达到了胃癌手术操作规范要求,但仍需大样本观察研究。
Objective To explore the clinical treatment of hand-assisted radical laparoscopic radical gastrectomy. Methods 55 cases of gastric cancer diagnosed and treated by the Department of Integrative Medicine and Orthopedics, Guigang Hospital from April 2009 to April 2012 were selected randomly to observe intraoperative and postoperative complications and complications. Results All the 55 patients were successfully operated. The average operation time was (225.5 ± 25.9) min, the blood loss was 187.8 ± 22.1 min, the number of surgical lymph node dissection was 14.35 ± 3.5, the postoperative hospital stay was 8.9 ± 0.7. d, postoperative gastrointestinal function recovery time (4.27 ± 0.21) d, surgical complications: no incision infection, bleeding, anastomotic leakage and other complications. Conclusions Hand-assisted radical laparoscopic radical gastrectomy for gastric cancer is a safe and feasible surgical procedure that basically meets the requirements of surgical operation of gastric cancer, but still requires large sample observation and study.