| 王璟 刘宏斌 韩晓鹏 苏琳 李洪涛 于建平 李三党.急诊胃癌穿孔腹腔镜手术方式选择的研究[J].现代生物医学进展英文版,2014,14(29):5680-5682. |
| 急诊胃癌穿孔腹腔镜手术方式选择的研究 |
| Study on the Selection of Laparoscopic Surgical Modalities for GastricCancer Perforation |
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| DOI： |
| 中文关键词: 胃癌 穿孔 腹腔镜 预后 |
| 英文关键词: Gastric carcinoma Perforation Laparoscopy Prognosis |
| 基金项目:国家科技部、财政部科技惠民计划项目（2012GS620101）；甘肃省科技重大专项（2011GS04390） |
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| 中文摘要: |
| 目的：对急诊胃癌穿孔腹腔镜手术方式的选择进行探讨，为进一步优化治疗方案提供依据。方法：选取笔者所在医院2008
年6 月-2013 年6月经治的21 例胃癌穿孔临床资料作为研究对象，所有患者的病历资料完整，术式选择、并发症发生情况和术后
存活时间进行分析。结果：21 例均成功行腹腔镜手术。3 例行单纯腹腔镜修补术，12 例行经腹腔镜胃癌根治术（Ⅰ期7 例+Ⅱ期5
例），6 例行姑息性远侧胃大部切除术（Ⅰ期5 例+Ⅱ期1 例）。结论：胃癌穿孔患者，全身情况较好可耐受全麻及腹腔镜根治性切
除者，可积极行Ⅰ期腹腔镜根治行切除术。无条件者行穿孔修补术后2-3 周再施行Ⅱ期经腹腔镜胃癌根治术。 |
| 英文摘要: |
| Objective:To compare different Laparoscopic surgical modalities for gastric cancer perforation.Methods:The clinical
data of twenty one cases with perforation of gastric cancer which underwent different surgical procedures from June 2008 to June 2013
were analyzed retrospectively.Results:Three patients underwent repair of perforation; Six patients received partial gastrectomy and
twelve radical gastrectomy.Conclusion:Radical gastrectomy and positive treatment can prolong the survival time and improve the
quality of life of the patient with perforation with gastric cancer. |
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