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目的探讨腹腔镜远端胃癌D2根治术的可行性和安全性。方法回顾性分析2011年5月~2014年5月在右江民族医学院附属医院胃肠外科进行腹腔镜远端胃癌D2根治术的136例患者的临床资料。结果 136例患者均在腹腔镜下完成远端胃癌D2根治术,在胃癌切除后均通过管形吻合器行毕Ⅱ胃十二指肠吻合重建,手术时间(207±19.7)min;出血量(121.8±39.4)ml,术后肛门排气时间(2.7±1.1)d,恢复流食时间(3.6±0.8)d。术后发生并发症3例(2.21%),分别为切口延时愈合、腹腔内感染和短期胃瘫各1例。结论腹腔镜远端胃癌根治术D2淋巴结清扫安全、可行。
Objective To investigate the feasibility and safety of laparoscopic distal root D2 radical mastectomy. Methods The clinical data of 136 patients who underwent D2 laparoscopic distal gastric cancer from May 2011 to May 2014 in our department of gastrointestinal surgery in the Youjiang Medical College Hospital were retrospectively analyzed. Results All 136 patients underwent laparoscopic D2 radical resection of distal gastric cancer. After resection of gastric cancer, all patients underwent resection of gastro-duodenum anastomosis through tube-shaped stapler, the operation time was (207 ± 19.7) min; the amount of bleeding 121.8 ± 39.4) ml, anal exhaust time after surgery (2.7 ± 1.1) d, resumption of fluid time (3.6 ± 0.8) d. Postoperative complications occurred in 3 cases (2.21%), delayed incision delayed healing, intraperitoneal infection and short-term gastroparesis in 1 case. Conclusion Laparoscopic radical D2 radical resection of gastric cancer is safe and feasible.