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目的:对腹腔镜辅助远端胃切除胃癌根治术的安全性及可行性进行探讨。方法:随机选取2011年12月-2013年12月我院接诊的70例行腹腔镜辅助远端胃切除胃癌根治术的患者进行回顾性分析;通过观察手术相关指标、病理诊断以及病人恢复指标、后期随访对手术结果进行评价。结果:70例患者中除2例因术中发现肿瘤侵犯胰腺头部而中转开腹外,其余68例均顺利完成腹腔镜辅助远端胃切除胃癌根治手术。结论:腹腔镜辅助远端胃切除胃癌根治手术是安全可行的,并且其具有出血少、创伤小及术后恢复快等优点,比较适用于早期胃癌及部分病灶局限、无远处转移的进展期胃癌的手术治疗,值得我们在临床上广泛推广。
Objective: To investigate the safety and feasibility of laparoscopic-assisted distal gastrectomy for gastric cancer radical surgery. Methods: Seventy patients undergoing laparoscopy-assisted distal gastrectomy for gastric cancer underwent radical resection in our hospital from December 2011 to December 2013 were retrospectively analyzed. By observing the relevant indexes of operation, pathological diagnosis and index of patient recovery Postoperative follow-up evaluation of the surgical results. Results: Of the 70 patients, the other 68 patients underwent laparoscopic radical gastrectomy for radical resection of gastric cancer except 2 patients who were converted to open surgery due to intraoperative tumor invasion of the head of the pancreas. Conclusion: Laparoscopic assisted distal gastrectomy for gastric cancer radical surgery is safe and feasible, and it has the advantages of less bleeding, less trauma and rapid postoperative recovery, more suitable for early gastric cancer and partial lesions, without distant metastasis Surgical treatment of gastric cancer, it is worth our wide range of clinical promotion.