使用自制单孔通道装置行早期胃癌单切口腹腔镜远端胃切除术
Single-incision laparoscopic distal gastrectomy for early gastric cancer through a homemade single port access device.
作者信息
Jiang Zhi-Wei, Zhang Shu, Wang Gang, Zhao Kun, Liu Jiang, Ning Li, Li Jieshou
出版信息
Hepatogastroenterology. 2015 Mar-Apr;62(138):518-23.
BACKGROUND/AIMS: We presented a series of single-incision laparoscopic distal gastrectomies for early gastric cancer patients through a type of homemade single port access device and some other conventional laparoscopic instruments.
METHODOLOGY
A single-incision laparoscopic distal gastrectomy with D1 + α lymph node dissection was performed on a 46 years old male patient who had an early gastric cancer.
RESULTS
This single port access device has facilitated the conventional laparoscopic instruments to accomplish the surgery and we made in only 6 minutes. Total operating time for this surgery was 240 minutes. During the operation, there were about 100 milliliters of blood loss, and 17 lymph-nodes were retrieved.
CONCLUSION
This homemade single port access device shows its superiority in economy and convenience for complex single-incision surgeries. Single-incision laparoscopic distal gastrectomy for early gastric cancer can be conducted by experienced laparoscopic surgeons. Fully take advantage of both SILS and fast track surgery plan can bring to successful surgeries with minimal postoperative pain, quicker mobilization, early recovery of intestinal function, and better cosmesis effect for the patients.
背景/目的：我们通过一种自制的单孔通道装置及其他一些传统腹腔镜器械，为早期胃癌患者实施了一系列单切口腹腔镜远端胃切除术。
方法
对一名患有早期胃癌的46岁男性患者进行了单切口腹腔镜远端胃切除术并清扫D1 + α淋巴结。
结果
这种单孔通道装置便于传统腹腔镜器械完成手术，我们仅用6分钟就完成了操作。该手术的总操作时间为240分钟。术中失血约100毫升，切除17枚淋巴结。
结论
这种自制的单孔通道装置在复杂单切口手术的经济性和便利性方面显示出优势。经验丰富的腹腔镜外科医生可开展早期胃癌的单切口腹腔镜远端胃切除术。充分利用单切口腹腔镜手术（SILS）和快速康复外科计划可为患者带来成功的手术，术后疼痛最小、活动恢复更快、肠道功能早期恢复且美容效果更佳。
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