三例腹腔镜全胃切除术联合体内食管空肠吻合术治疗残胃癌
Three cases of laparoscopic total gastrectomy with intracorporeal esophagojejunostomy for gastric cancer in remnant stomach.
作者信息
Pan Yu, Mou Yi-Ping, Chen Ke, Xu Xiao-Wu, Cai Jia-Qin, Wu Di, Zhou Yu-Cheng
机构信息
Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China.
出版信息
World J Surg Oncol. 2014 Nov 13;12:342. doi: 10.1186/1477-7819-12-342.
Gastric cancer in remnant stomach is a rare tumor but with poor prognosis. Compared with conventional open surgery, laparoscopic gastrectomy has potential benefits for these patients due to advantages resulting from its minimally invasive approach. Herein, we report on three patients with gastric cancer in remnant stomach who underwent laparoscopic total gastrectomy with intracorporeal esophagojejunostomy successfully. The operative time was 280, 250 and 225 minutes, the estimated blood loss was 100, 80 and 50 ml and the length of postoperative hospital stay was seven, eight and nine days respectively. Our experience has suggested that laparoscopic total gastrectomy with intracorporeal esophagojejunostomy can be a safe, feasible and promising option for patients with gastric cancer in remnant stomach.
残胃癌是一种罕见肿瘤，但预后较差。与传统开放手术相比，腹腔镜胃切除术因其微创方法的优势，对这些患者具有潜在益处。在此，我们报告三例残胃癌患者成功接受腹腔镜全胃切除术并进行体内食管空肠吻合术的病例。手术时间分别为280、250和225分钟，估计失血量分别为100、80和50毫升，术后住院时间分别为7、8和9天。我们的经验表明，腹腔镜全胃切除术并进行体内食管空肠吻合术对于残胃癌患者可能是一种安全、可行且有前景的选择。
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