经腔单孔腹腔镜D2淋巴结清扫根治性胃癌切除术治疗早期胃癌——中国微创外科的初步经验
Translumenal single-incision laparoscopy radical gastrectomy with D2 lymph node dissection for early gastric cancer--primary experience with less invasive surgery in China.
作者信息
Kong Jing, Wu Shuo-Dong, Su Yang
机构信息
Departments of Minimally Invasive Surgery and the Second General Surgery, Sheng Jing Hospital of China Medical University, Shenyang City, Liaoning Province, People's Republic of China.
出版信息
J Laparoendosc Adv Surg Tech A. 2013 Feb;23(2):141-5. doi: 10.1089/lap.2012.0332.
BACKGROUND
In this article we report our initial clinical experience about umbilical single-incision laparoscopic surgery (SILS) radical gastrectomy with D2 lymph node dissection for early gastric cancer with conventional laparoscopic instruments.
SUBJECTS AND METHODS
Preliminary experiences with umbilical SILS radical gastrectomy in 4 patients with early gastric cancer were described.
RESULTS
Umbilical SILS radical gastrectomy with D2 lymph node dissection was performed successfully with conventional laparoscopic instruments in these 4 patients. Average operative time was 280 minutes, and average blood loss was 162 mL. No intraoperative or postoperative complications, such as secondary hemorrhage, anastomotic leakage, or obstruction, were recorded. The patients recovered fully, and the single umbilical scar was well healed.
CONCLUSIONS
Our initial experience showed that transumbilical SILS radical gastrectomy with D2 lymph node dissection for early gastric cancer is feasible and safe when performed by experienced laparoscopic surgeons.
背景
在本文中，我们报告了使用传统腹腔镜器械进行脐单切口腹腔镜手术（SILS）根治性胃癌切除术并D2淋巴结清扫术的初步临床经验。
对象与方法
描述了4例早期胃癌患者行脐单切口腹腔镜根治性胃癌切除术的初步经验。
结果
这4例患者使用传统腹腔镜器械成功实施了脐单切口腹腔镜根治性胃癌切除术并D2淋巴结清扫术。平均手术时间为280分钟，平均失血量为162毫升。未记录到术中或术后并发症，如继发性出血、吻合口漏或梗阻。患者完全康复，脐部单一瘢痕愈合良好。
结论
我们的初步经验表明，由经验丰富的腹腔镜外科医生进行经脐单切口腹腔镜根治性胃癌切除术并D2淋巴结清扫术治疗早期胃癌是可行且安全的。
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