分析3D腹腔镜治疗食管胃结合部SiewertⅡ型腺癌患者的疗效。

回顾性分析2016年6月至2017年12月103例经3D腹腔镜手术治疗食管胃结合部Siewert II型腺癌(AEG)患者的临床资料，分析术中术后各项指标、住院时间及围术期并发症。

103例患者无围术期死亡，其中98例达到R0切除。平均手术时间(203.3±68.5) min，淋巴结清扫数(24.6±6.5)个，术中出血量(70.6±40.7) ml，术后平均住院时间(8.1±5.6) d，经口进半流质饮食时间(5.2±3.5) d，术后并发症发生率17.5%(17/103)，发生并发症患者经保守治疗均痊愈出院。

3D腹腔镜手术治疗SiewertII型患者在淋巴结清扫数、减少术中出血、缩短术后住院时间及减少术后并发症方面具有明显优势。

To analysis the effect of 3D laparoscopic treatment of Siewert Ⅱ Adenocarcinoma of Esophagogastric Junction (AEG).

The clinical data of patients who underwent 3D laparoscopic radical gastrectomy for Siewert type Ⅱ adenocarcinoma of Esophagogastric Junction from June 2016 to December 2017 in Gastrointestinal surgery of People’s Hospital of Zhengzhou University were retrospective analyzed.

No cases of perioperative death were found, R0 resection were preformed in 98 cases. The average operation time was 203.3 ± 68.5 min, the number of lymph nodes dissection was 24.6±6.5, the blood loss was 70.6±40.7 ml and the average postoperative hospital stay was 8.1 ± 5.6 days, the oral half-liquid diet time was 5.2±3.5 days, the incidence of postoperative complications was 17.5% (17/103). Through conservative treatment, all the patients with complications were cured.

3D laparoscopy has obvious advantages in the number of lymph nodes dissection, less intraoperative bleeding, shorter postoperative hospital stay and less postoperative complications.