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微创胃外科手术。

Minimally invasive gastric surgery.

机构信息

Division of Minimal Access and Bariatric Surgery, Greenville Hospital System University Medical Center, University of South Carolina School of Medicine, 890 West Faris Road, Suite 310, Greenville, SC 29605, USA.

出版信息

Surg Clin North Am. 2011 Oct;91(5):1089-103. doi: 10.1016/j.suc.2011.06.006.

Abstract

The most common indications for gastric resection remain benign ulcer disease and neoplasm. Surgery for these diseases can be performed safely with laparoscopy. As surgeons adhere to the original tenets of open gastric resections while performing laparoscopic resections, disease outcomes will remain the same with the improved surgical outcomes of less pain, a shorter hospital stay, and a lower incidence of wound complications. Laparoscopic gastric resections can be divided into the more straightforward wedge/tumor resections performed for submucosal tumors or the more formal anatomic gastric resections. This article reviews the tools and techniques for laparoscopic gastric resection.

摘要

胃切除术最常见的适应证仍然是良性溃疡病和肿瘤。这些疾病可以通过腹腔镜安全地进行手术。由于外科医生在进行腹腔镜切除时坚持开放胃切除术的最初原则,因此疾病的结果将保持不变,同时具有更好的手术效果,如疼痛减轻、住院时间缩短和伤口并发症发生率降低。腹腔镜胃切除术可分为更直接的楔形/肿瘤切除术,用于黏膜下肿瘤,或更正式的解剖胃切除术。本文综述了腹腔镜胃切除术的工具和技术。

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