手辅助与腹腔镜辅助胃癌D2根治术的临床比较研究.pdfVIP

Asian Case Reports in Surgery 亚洲外科手术病例研究, 2014, 3, 23-29 Published Online December 2014 in Hans. /journal/acrs /10.12677/acrs.2014.34005 A Clinical Comparative Study of Hand Assistant and Laparoscopy Assistant D2 Radical Gastrectomy for Gastric Cancer * Yongkuan Cao , Jun Zhou, Guohu Zhang, Guode Luo, Yonghua Wang, Jiaqing Gong, Lin Zhang, Peihong Wang, Liye Liu Gastrointestinal Ward of the PLA General Surgery Centre, General Hospital of Chengdu Military Region, Chengdu * Email: caoyok@163.com nd rd th Received: Nov. 2 , 2014; revised: Dec. 3 , 2014; accepted: Dec. 12 , 2014 Copyright © 2014 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Purpose: Through evaluating hand assistant laparoscopic D2 radical gastrectomy, the methods of laparoscopic technique to cure gastric cancer are to be expanded. Methods: 21 cases of gastric cancer in General Hospital of Chengdu Military Region between Nov. 2010 and Apr. 2011, which underwent successfully by hand assistant laparoscopic D2 radical gastrectomy (HAL group) were reviewed and analyzed. 25 patients’ clinical data (LAT group) (operated by the same surgeon by laparoscopic assistant technique) were collected. An analysis was taken between the two groups. Result: Mean laparoscopic operating time of HAL group and LAT group was 44 min (18 - 58 min) and 91 min (70 - 100 min) respectively. Length of incision was 6.8 cm (6 - 7 cm) and 6.1 cm (5 - 8 cm) respectively. The mean blood loss was 225 ml (80 - 600) and 250 ml (100 - 500 ml) respec- tively. Postoperative complications: O