目的：探讨腹腔镜下胃癌根治术联合胃转流术治疗胃癌合并2型糖尿病患者的临床疗效及安全性。方法回顾性分析接受腹腔镜胃癌根治术联合胃转流术治疗4例2型糖尿病患者的临床资料。结果4例患者均完成腹腔镜下胃癌根治联合胃转流术，手术顺利，无中转开放，术后未发生严重并发症。术前空腹血糖（FPG）6．6-9．0mmol／L，平均8．1mmol／L；糖化血红蛋白（HbAlC）6．8％-9．5％，平均7．8％。术后 l -12个月复查 FPG4．8-7．9mmoL／L，平均6．4mmoL／L；HbAlC5．5％-7．2％，平均6．3％。据美国糖尿病协会（ADA）糖尿病疗效判断标准，3例治愈，1例改善。结论腹腔镜下胃癌根治术联合胃转流术对胃癌合并2型糖尿病患者临床疗效显著，能有效治疗2型糖尿病，手术安全可行。
Laparoscopic Aastrectomy for Gastric cancer and Roux-en Y Gastric Bypass on type 2 Diabetes Mellitus
Objective To investigate the Clinical efficacy and safety of the Laparoscopic gastrectomy for gastric cancer and Roux -en Y gastric bypass on type 2 di-abetes mellitus.Method Retrospectively analyzed the clinical data of 4 patients under the laparoscopic gastrectomy for gastric cancer in combination with the Roux -en Y gastric bypass on type 2 diabetes mellitus.Result Four patients all completed accomplishes the Laparoscopic gastrectomy for gastric cancer and Roux -en Y gastric by-pass on type 2 diabetes mellitus.Operation smoothly,no opening,no postoperative serious complications occurred.Preoperative fasting plasma glucose(FPG)was 6.6-9. 0 mmoL/L,the average data was8.1mmol/L Glycosylated hemoglobin(HbAlC)was 6.8%-9.5%,the average data was 7.8%.after review 1-12 months,FPG was4. 8-7.9 mmoL/L,the average data was 6.4 mmoL/L,HbAlC 5.5%7.2%,the average data was 6.3%.According to the American diabetes association(ADA)curative effect judgment standard,3 cases were cured,1 case of improvement.Conclusion The Clinical efficacy and safety of the Laparoscopic gastrectomy for gastric cancer and Roux-en Y gastric bypass on type 2 diabetes mellitus was significantly.Can effectively treat type 2 diabetes,the operation safety is feasible.
LaparoscopicGastric cancerRoux-en Y gastric bypass type2 diabetes mellitus
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