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微创食管切除术后梗阻性胃管的腹腔镜处理。

Laparoscopic management of obstructed gastric conduit after minimally invasive esophagectomy.

机构信息

Loma Linda University Medical Center, Loma Linda, California.

Loma Linda University Medical Center, Loma Linda, California.

出版信息

Ann Thorac Surg. 2014 May;97(5):e145-6. doi: 10.1016/j.athoracsur.2013.11.082.

Abstract

We describe a novel, minimally invasive method of managing an obstructed gastric conduit after minimally invasive esophagectomy. In addition, we briefly review the management of obstructed gastric conduit in patients status-post minimally invasive esophagectomy. On literature review, it was noted that gastrojejunostomy after esophagectomy was exceptionally rare. Only one other reported case of gastrojejunostomy after esophagectomy was found in the literature. This is the first reported case to our knowledge of laparoscopic gastrojejunostomy after minimally invasive esophagectomy (MIE). Laparoscopic gastrojejunostomy after minimally invasive esophagectomy for obstructed gastric conduit is technically feasible, and it effectively managed the obstruction in our patient.

摘要

我们描述了一种微创治疗微创食管切除术后胃管梗阻的新方法。此外,我们还简要回顾了微创食管切除术后胃管梗阻患者的处理方法。文献复习发现,食管切除术后胃空肠吻合术非常罕见。文献中仅发现另一例食管切除术后胃空肠吻合术的报道。据我们所知,这是首例微创食管切除术后腹腔镜胃空肠吻合术的报道。微创食管切除术后腹腔镜胃空肠吻合术治疗胃管梗阻在技术上是可行的,它有效地解决了我们患者的梗阻问题。

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