胃及胃食管交界部疾病的腹腔鏡手術治療（附59例報道）_《中國普外基礎與臨床雜志》

作者：

范瑩 , 吳碩東 , 于宏 , 蘇洋 , 孔靜 , 田雨

中國醫科大學附屬盛京醫院第一微創外科膽道外科（沈陽110004）;

關鍵詞：

腹腔鏡外科胃癌胃間質瘤賁門失弛緩癥食管裂孔疝治療結果

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目的探討胃及胃食管交界部疾病腹腔鏡手術治療的可行性和安全性。
方法 2004年5月至2009年6月期間我科共59例患者因胃及胃食管交界部疾病接受腹腔鏡手術治療，對手術方法、技巧以及患者圍手術期處理、術后并發癥和療效進行分析和評價。
結果除1例全胃癌患者中轉開腹外，其余均在腹腔鏡下成功完成手術。未發生近期并發癥。胃癌患者術后隨訪平均36個月（1～60個月），未出現戳孔種植轉移病例。1例患者術后12個月死于肝轉移。直接法計算3年生存率為93.3%(14/15)。
結論腹腔鏡胃及胃食管交界部疾病手術可行，并具有安全、微創的特點，值得推廣。

引用本文： 范瑩,吳碩東,于宏,蘇洋,孔靜,田雨. 胃及胃食管交界部疾病的腹腔鏡手術治療（附59例報道）. 中國普外基礎與臨床雜志, 2010, 17(2): 175-179. doi: 復制

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2.	Shim JH, Song KY, Kim SN, et al. Laparoscopyassisted distal gastrectomy for overweight patients in the Asian population [Ｊ]. Surg Today, 2009; 39(6): 481486.
3.	Francescutti V, Choy I, Biertho L, et al. Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures [Ｊ]. Surg Innov, 2009; 16(2): 134139.
4.	余佩武. 腹腔鏡胃癌根治術的原則與評價 [Ｊ]. 中國普外基礎與臨床雜志, 2009; 16(1): 15.
5.	Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma: a casecontrol study [Ｊ]. Ann Surg Oncol, 2009; 16(6): 15071513.
6.	Tokunaga M, Hiki N, Fukunaga T, et al. Laparoscopyassisted distal gastrectomy with D2 lymph node dissection following standardization-a preliminary study [Ｊ]. J Gastrointest Surg, 2009; 13(6): 10581063.
7.	Matsui H, Okamoto Y, Nabeshima K, et al. Endoscopyassisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal and proximal gastrectomy [Ｊ]. Surg Endosc, 2009; 23(5): 11461149.
8.	余佩武, 羅華星. 腹腔鏡胃癌根治術的現狀與前景 [Ｊ]. 中國普外基礎與臨床雜志, 2007; 14(5): 506509.
9.	Yasuda K, Shiraishi N, Etoh T, et al. Longterm quality of life after laparoscopyassisted distal gastrectomy for gastric cancer [Ｊ]. Surg Endosc, 2007; 21(12): 21502153.
10.	Park JM, Jin SH, Lee SR, et al. Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases [Ｊ]. Surg Endosc, 2008; 22 (10): 21332139.
11.	鄭勇斌, 童仕倫, 譚海燕, 等. 超聲刀在腹腔鏡胃癌根治手術中的應用 [Ｊ]. 中國普外基礎與臨床雜志, 2009; 16(10): 781784.
12.	Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [Ｊ]. Surg Oncol, 2007; 16(2): 8598.
13.	Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer： experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 11611164.
14.	Siani LM, Ferranti F, Stefanuto A, et al. Laparoscopic total gastrectomy for multifocal gastric GIST: a case report and review of the literature [Ｊ]. Chir Ital, 2009; 61(2): 199203.
15.	Gervaz P, Huber O, Morel P. Surgical management of gastrointestinal stromal tumors [Ｊ]. Br J Surg, 2009; 96(6): 567578.
16.	Milone M, Micera O, Milone F. Laparoscopic wedge resection for gastrointestinal stromal tumour: a case report [Ｊ]. Chir Ital, 2009; 61(1): 8385.
17.	Gentileschi P, Rossi P, Manzelli A, et al. Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report [Ｊ]. JSLS, 2003; 7(4): 377382.
18.	Robert M, Poncet G, Mion F, et al. Results of laparoscopic Heller myotomy without antireflux procedure in achalasia. Monocentric prospective study of 106 cases [Ｊ]. Surg Endosc, 2008; 22(4): 866874.
19.	Ferulano GP, Dilillo S, D’Ambra M, et al. Short and long term results of the laparoscopic HellerDor myotomy. The influence of age and previous conservative therapies [Ｊ]. Surg Endosc, 2007; 21(11): 20172023.
20.	Díez Tabernilla M, RuizTovar J, Grajal Marino R, et al. Paraesophageal hiatal hernia.Open vs. laparoscopic surgery [Ｊ]. Rev Esp Enferm Dig, 2009; 101(10): 706711.
21.	Hao YX, Yu PW, Zhong H, et al. Comparison of laparoscopic and open gastrectomy on cancer cells exfoliating from the cancerinvaded serosa [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 201207.
22.	Steinert R, Lippert H, Reymond MA. Tumor cell dissemination during laparoscopy：prevention and therapeutic opportunities [Ｊ]. Dig Surg, 2002; 19(6): 464472.
23.	Eng MK, Katz MH, Bernstein AJ, et al. Laparoscopic portsite metastasis in urologic surgery [Ｊ]. J Endourol, 2008; 22(8): 15811585.
24.	Joshipura VP, Haribhakti SP, Patel NR, et al. A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 234240.
25.	Tabrizian P, Nguyen SQ, Divino CM. Laparoscopic management and longterm outcomes of gastrointestinal stromal tumors [Ｊ]. J Am Coll Surg, 2009; 208(1): 8086.
26.	Silberhumer GR, Hufschmid M, Wrba F, et al. Surgery for gastrointestinal stromal tumors of the stomach [Ｊ]. J Gastrointest Surg, 2009; 13(7): 12131219.
27.	Kilic A, Schuchert MJ, Pennathur A, et al. Longterm outcomes of laparoscopic Heller myotomy for achalasia [Ｊ]. Surgery, 2009; 146(4): 826831.

1. Hwang SH, Park do J, Jee YS, et al. Actual 3year survival after laparoscopyassisted gastrectomy for gastric cancer [Ｊ]. Arch Surg, 2009; 144(6): 559564.
2. Shim JH, Song KY, Kim SN, et al. Laparoscopyassisted distal gastrectomy for overweight patients in the Asian population [Ｊ]. Surg Today, 2009; 39(6): 481486.
3. Francescutti V, Choy I, Biertho L, et al. Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures [Ｊ]. Surg Innov, 2009; 16(2): 134139.
4. 余佩武. 腹腔鏡胃癌根治術的原則與評價 [Ｊ]. 中國普外基礎與臨床雜志, 2009; 16(1): 15.
5. Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma: a casecontrol study [Ｊ]. Ann Surg Oncol, 2009; 16(6): 15071513.
6. Tokunaga M, Hiki N, Fukunaga T, et al. Laparoscopyassisted distal gastrectomy with D2 lymph node dissection following standardization-a preliminary study [Ｊ]. J Gastrointest Surg, 2009; 13(6): 10581063.
7. Matsui H, Okamoto Y, Nabeshima K, et al. Endoscopyassisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal and proximal gastrectomy [Ｊ]. Surg Endosc, 2009; 23(5): 11461149.
8. 余佩武, 羅華星. 腹腔鏡胃癌根治術的現狀與前景 [Ｊ]. 中國普外基礎與臨床雜志, 2007; 14(5): 506509.
9. Yasuda K, Shiraishi N, Etoh T, et al. Longterm quality of life after laparoscopyassisted distal gastrectomy for gastric cancer [Ｊ]. Surg Endosc, 2007; 21(12): 21502153.
10. Park JM, Jin SH, Lee SR, et al. Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases [Ｊ]. Surg Endosc, 2008; 22 (10): 21332139.
11. 鄭勇斌, 童仕倫, 譚海燕, 等. 超聲刀在腹腔鏡胃癌根治手術中的應用 [Ｊ]. 中國普外基礎與臨床雜志, 2009; 16(10): 781784.
12. Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [Ｊ]. Surg Oncol, 2007; 16(2): 8598.
13. Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer： experience with more than 600 cases [Ｊ]. Surg Endosc, 2008; 22(5): 11611164.
14. Siani LM, Ferranti F, Stefanuto A, et al. Laparoscopic total gastrectomy for multifocal gastric GIST: a case report and review of the literature [Ｊ]. Chir Ital, 2009; 61(2): 199203.
15. Gervaz P, Huber O, Morel P. Surgical management of gastrointestinal stromal tumors [Ｊ]. Br J Surg, 2009; 96(6): 567578.
16. Milone M, Micera O, Milone F. Laparoscopic wedge resection for gastrointestinal stromal tumour: a case report [Ｊ]. Chir Ital, 2009; 61(1): 8385.
17. Gentileschi P, Rossi P, Manzelli A, et al. Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report [Ｊ]. JSLS, 2003; 7(4): 377382.
18. Robert M, Poncet G, Mion F, et al. Results of laparoscopic Heller myotomy without antireflux procedure in achalasia. Monocentric prospective study of 106 cases [Ｊ]. Surg Endosc, 2008; 22(4): 866874.
19. Ferulano GP, Dilillo S, D’Ambra M, et al. Short and long term results of the laparoscopic HellerDor myotomy. The influence of age and previous conservative therapies [Ｊ]. Surg Endosc, 2007; 21(11): 20172023.
20. Díez Tabernilla M, RuizTovar J, Grajal Marino R, et al. Paraesophageal hiatal hernia.Open vs. laparoscopic surgery [Ｊ]. Rev Esp Enferm Dig, 2009; 101(10): 706711.
21. Hao YX, Yu PW, Zhong H, et al. Comparison of laparoscopic and open gastrectomy on cancer cells exfoliating from the cancerinvaded serosa [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 201207.
22. Steinert R, Lippert H, Reymond MA. Tumor cell dissemination during laparoscopy：prevention and therapeutic opportunities [Ｊ]. Dig Surg, 2002; 19(6): 464472.
23. Eng MK, Katz MH, Bernstein AJ, et al. Laparoscopic portsite metastasis in urologic surgery [Ｊ]. J Endourol, 2008; 22(8): 15811585.
24. Joshipura VP, Haribhakti SP, Patel NR, et al. A prospective randomized, controlled study comparing low pressure versus high pressure pneumoperitoneum during laparoscopic cholecystectomy [Ｊ]. Surg Laparosc Endosc Percutan Tech, 2009; 19(3): 234240.
25. Tabrizian P, Nguyen SQ, Divino CM. Laparoscopic management and longterm outcomes of gastrointestinal stromal tumors [Ｊ]. J Am Coll Surg, 2009; 208(1): 8086.
26. Silberhumer GR, Hufschmid M, Wrba F, et al. Surgery for gastrointestinal stromal tumors of the stomach [Ｊ]. J Gastrointest Surg, 2009; 13(7): 12131219.
27. Kilic A, Schuchert MJ, Pennathur A, et al. Longterm outcomes of laparoscopic Heller myotomy for achalasia [Ｊ]. Surgery, 2009; 146(4): 826831.

《中國普外基礎與臨床雜志》

胃及胃食管交界部疾病的腹腔鏡手術治療（附59例報道）

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

胃及胃食管交界部疾病的腹腔鏡手術治療（附59例報道）

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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