Ammori Basil J, Boreham Benjamin
Royal Gwent Hospital, Newport, United Kingdom.
Surg Laparosc Endosc Percutan Tech. 2002 Oct;12(5):353-5. doi: 10.1097/00129689-200210000-00009.
The Devine exclusion gastroenterostomy is an effective procedure for the relief of gastric outlet obstruction in patients with unresectable carcinoma of the gastric antrum. We report on the successful laparoscopic application of this technique in two male patients aged 61 and 76 years with unresectable and obstructing antral gastric cancer. The operating time was 90 minutes for each patient, and the postoperative hospital stay was 3 and 4 days, respectively. There were no delays in gastric emptying and no recurrences of gastric outlet obstruction until the time of death, 3.5 and 9 months postoperatively, respectively. The laparoscopic approach to a Devine exclusion gastroenterostomy is a safe and effective minimally invasive approach to the palliation of unresectable obstructing gastric carcinoma.
迪瓦恩式胃空肠吻合术是缓解胃窦部不可切除癌患者胃出口梗阻的有效手术方法。我们报告了该技术在两名分别为61岁和76岁的男性不可切除性梗阻性胃窦癌患者中的成功腹腔镜应用。每位患者的手术时间为90分钟，术后住院时间分别为3天和4天。直到分别在术后3.5个月和9个月死亡时，均未出现胃排空延迟，也没有胃出口梗阻复发。腹腔镜下迪瓦恩式胃空肠吻合术是一种安全有效的微创方法，可用于缓解不可切除性梗阻性胃癌。
