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目的总结完全腹腔镜下远端胃癌根治术的体会。方法 确诊为远端胃癌患者12例,均行完全腹腔镜下远端胃癌根治术,统计其手术时间、胃肠功能恢复时间、住院时间及术后并发症等。结果 12例患者手术均获成功,无中转开腹,无围手术期死亡。手术时间(220.36±26.67)分钟,术后胃肠功能恢复时间(2.31±1.26)天,住院时间(9.35±3.47)天。术后出现切口感染2例,给予换药、理疗4天后缓解,术后慢性疼痛1例。3例患者术后出现不同程度的反酸、嗳气,给予口服潘妥洛克,2周后症状缓解。术后中位随访时间10个月,无复发转移。结论完全腹腔镜下远端胃癌根治术安全有效,但术后可能引起不同程度的反酸、嗳气。
Objective To summarize the experience of radical laparoscopic radical gastrectomy for gastric cancer. Methods 12 cases of distal gastric cancer were diagnosed. All cases underwent complete laparoscopic radical gastrectomy. The operative time, the recovery time of gastrointestinal function, the length of stay and the postoperative complications were analyzed. Results All the 12 patients were successful in operation, without conversion to laparotomy and no perioperative death. The operation time (220.36 ± 26.67) minutes, postoperative gastrointestinal function recovery time (2.31 ± 1.26) days, hospitalization time (9.35 ± 3.47) days. Postoperative incision infection in 2 cases, given dressing, physical therapy after 4 days to ease, postoperative chronic pain in 1 case. Three patients showed varying degrees of acid reflux, belching, giving oral treatment with pentelok, 2 weeks after the symptoms were relieved. After the median follow-up of 10 months, no recurrence and metastasis. Conclusion The complete laparoscopic radical gastrectomy for gastric cancer is safe and effective, but may lead to different degrees of acid reflux and belching after operation.