腹腔镜胃癌手术中的腔内吻合。
Intracorporeal anastomosis in laparoscopic gastric cancer surgery.
机构信息
Department of Surgery, Osaka Red Cross Hospital, Osaka, Japan.
出版信息
J Gastric Cancer. 2012 Sep;12(3):133-9. doi: 10.5230/jgc.2012.12.3.133. Epub 2012 Sep 30.
Abstract
Laparoscopic gastrectomy has become widely used as a minimally invasive technique for the treatment of gastric cancer. When it was first introduced, most surgeons preferred a laparoscopic-assisted approach with a minilaparotomy rather than a totally laparoscopic procedure because of the technical challenges of achieving an intracorporeal anastomosis. Recently, with improved skills and instruments, several surgeons have reported the safety and feasibility of a totally laparoscopic gastrectomy with intracorporeal anastomosis. This review describes the recent technical advances in intracorporeal anastomoses using circular and linear staplers that allow for totally laparoscopic distal, total, and proximal gastrectomies. Data that demonstrate advantages in early surgical outcomes of a total laparoscopic method compared to laparoscopic-assisted operations are also discussed.
摘要
腹腔镜胃切除术已广泛应用于胃癌的微创治疗。最初引入时，由于实现腔内吻合的技术挑战，大多数外科医生更倾向于采用腹腔镜辅助小切口手术，而不是完全腹腔镜手术。最近，随着技术和器械的改进，一些外科医生已经报告了使用圆形和线性吻合器进行完全腹腔镜腔内吻合的安全性和可行性。本综述描述了使用圆形和线性吻合器进行腔内吻合的最新技术进展，这些吻合器可用于完全腹腔镜远端、全胃和近端胃切除术。还讨论了与腹腔镜辅助手术相比，完全腹腔镜方法在早期手术结果方面具有优势的数据。
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