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目的观察腹腔镜胃癌根治术的临床疗效及可行性总结。方法对21例胃癌患者行腹腔镜胃癌根治术,其中行根治性近端胃大部切除术6例,行远端胃大部切除术15例。结果 21例均成功完成腹腔镜胃癌根治手术。手术用时(252±31)min,术中失血量为(212±86)ml,清扫淋巴结(20.7±9.7)枚,术后肠道功能恢复时间为(2.6±1.2)d。术后住院时间(12±5)d。术后失访3例,余随访1～54个月,2例死亡,3例带瘤生存,其他未发现肿瘤复发或转移。结论腹腔镜胃癌根治术,根治效果与开腹手术相近,且创伤小,安全性好,患者恢复快,近期疗效满意。
Objective To observe the clinical efficacy and feasibility of laparoscopic radical gastrectomy for gastric cancer. Methods Laparoscopic radical gastrectomy was performed in 21 patients with gastric cancer, including radical proximal gastrectomy in 6 patients and distal gastrectomy in 15 patients. Results Laparoscopic radical gastrectomy was successfully performed in all 21 cases. At the time of surgery (252±31) min, intraoperative blood loss was (212±86) ml, lymph node metastasis was (20.7±9.7), and postoperative recovery of intestinal function was (2.6±1.2) days. Postoperative hospital stay was (12±5) days. 3 cases were lost to follow-up after surgery, followed up for 1 to 54 months, 2 cases died, 3 cases survived with tumor, and no other tumor recurrence or metastasis was found. [Conclusion] Laparoscopic radical gastrectomy for gastric cancer has similar curative effect to open surgery. It has less trauma, better safety, faster recovery, and satisfactory curative effect in the near future.