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首页> 外文期刊>Surgical Endoscopy >Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases.
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Laparoscopic gastrectomy for gastric cancer: experience with more than 600 cases.

机译：腹腔镜胃切除术治疗胃癌的经验：超过600例。

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BACKGROUND: Among the less invasive operations noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular because of advances in surgical techniques. The authors performed laparoscopic gastrectomy with regional lymph node dissection for 612 cases of gastric malignancies between March 1998 and August 2006. The technique and results of laparoscopic gastrectomy for gastric cancer are presented. METHODS: Of the 612 gastric malignancy cases, distal gastrectomy was performed in 485 cases, proximal gastrectomy in 42 cases, and total gastrectomy in 85 cases. In all the cases, D1 or D2 lymph node dissection was performed according to the general rule of the Japanese Gastric Cancer Association. RESULTS: Quicker recovery was observed in the laparoscopic gastrectomy cases than in the open cases. The postoperative complications with this technique were within a permissible range. No statistical difference was seen in the survival curve after surgery between the laparoscopic group of advanced cases preoperatively diagnosed as surgical T2N1 or lower and the open group. CONCLUSION: The laparoscopic technique is not only less invasive, but also similarly safe and curative compared with open gastrectomy.
机译：背景：在近年来注意到的侵入性较小的手术中，由于手术技术的进步，用于胃癌的腹腔镜胃切除术已经普及。作者于1998年3月至2006年8月对612例胃恶性肿瘤行腹腔镜胃切除术并进行局部淋巴结清扫术。介绍了腹腔镜胃癌胃切除术的技术和效果。方法：在612例胃恶性肿瘤中，远端胃切除术485例，近端胃切除术42例，全胃切除术85例。在所有情况下，根据日本胃癌协会的一般规则进行D1或D2淋巴结清扫术。结果：腹腔镜胃切除术患者比开放病例恢复得更快。这项技术的术后并发症在允许的范围内。腹腔镜手术前诊断为手术T2N1或更低的晚期病例组与开放组之间的术后生存曲线无统计学差异。结论：与开放式胃切除术相比，腹腔镜技术不仅具有较低的侵入性，而且同样具有安全性和治愈性。

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