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目的探讨贲门癌应用手助腹腔镜手术治疗的可行性及安全性。方法回顾性分析72例行贲门癌手术患者临床资料。结果 72例均完成手助腹腔镜下手术,无中转开腹者;手术时间(143±26)min,术中出血量(155±30)mL,清扫淋巴结数目(23±5)枚,术后肠功能恢复时间(3.1±1.7)d,住院时间(7.4±2.9)d。结论 手助腹腔镜下行贲门癌手术安全可行,术中淋巴结清扫可达D2清扫要求。
Objective To investigate the feasibility and safety of hand-assisted laparoscopic surgery for cardia cancer. Methods The clinical data of 72 patients undergoing cardiac surgery were retrospectively analyzed. Results All of the 72 patients underwent laparoscopic hand-assisted laparoscopic surgery without transit to open laparotomy. The operative time (143 ± 26) min, intraoperative blood loss (155 ± 30) mL and number of lymph nodes dissected (23 ± 5) Intestinal function recovery time (3.1 ± 1.7) d, hospital stay (7.4 ± 2.9) d. Conclusions Hand-assisted laparoscopic surgery for cardia cancer is safe and feasible. Lymph node dissection can reach D2 clearance requirements.