完全腹腔镜全胃切除术中食管空肠吻合术的结果：一项单中心回顾性研究。
Outcome of esophagojejunostomy during totally laparoscopic total gastrectomy: a single-center retrospective study.
机构信息
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
出版信息
Anticancer Res. 2014 Dec;34(12):7227-32.
AIM
The present study aimed to clarify the safety and feasibility of esophagojejunostomy during totally laparoscopic total gastrectomy (TLTG).
PATIENTS AND METHODS
In 45 consecutive patients who underwent TLTG for gastric cancer, esophagojejunostomy was performed with a functional end-to-end anastomosis (FEEA) using a linear stapler in 24 patients or with a double stapling technique (DST) using a trans-orally inserted anvil (OrVil™) in 21 patients.
RESULTS
The DST was more likely to be chosen in patients with tumors located in the upper stomach. In the FEEA group, both the mean length of the operation and the mean postoperative hospital stay were significantly shorter compared to those in the DST group. Two patients in the FEEA group and four patients in the DST group developed postoperative complications but there were no postoperative deaths in either group.
CONCLUSION
Both FEEA and DST in esophagojejunostomy during TLTG are safe and feasible.
目的
本研究旨在阐明全腹腔镜全胃切除术（TLTG）中食管空肠吻合术的安全性和可行性。
患者和方法
在 45 例因胃癌行 TLTG 的患者中，24 例行使用线性吻合器的功能性端端吻合术（FEEA），21 例行使用经口内置吻合器（OrVil™）的双吻合技术（DST）进行食管空肠吻合术。
结果
DST 更可能用于肿瘤位于上胃的患者。在 FEEA 组中，手术的平均长度和术后平均住院时间均明显短于 DST 组。FEEA 组有 2 例患者和 DST 组有 4 例患者发生术后并发症，但两组均无术后死亡。
结论
TLTG 中 FEEA 和 DST 进行食管空肠吻合术均是安全且可行的。
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