联合肝脏游离与牵拉：一种在腹腔镜全胃切除术中获得最佳手术视野的新技术。
Combined liver mobilization and retraction: A novel technique to obtain the optimal surgical field during laparoscopic total gastrectomy.
作者信息
Yoshikawa Kozo, Shimada Mitsuo, Higashijima Jun, Nakao Toshihiro, Nishi Masaaki, Takasu Chie, Kashihara Hideya, Eto Syohei
机构信息
The Department of Surgery, The University of Tokushima, Tokushima, Japan.
出版信息
Asian J Endosc Surg. 2016 May;9(2):111-5. doi: 10.1111/ases.12271. Epub 2015 Dec 18.
INTRODUCTION
During laparoscopic gastrectomy, it is important to establish a good operative field and ensure an adequate working space. The combined liver mobilization and retraction method is used to get a safe and optimal view.
METHODS
We retrospectively analyzed 32 consecutive patients who underwent laparoscopic total gastrectomy for gastric cancer. The patients were divided into two groups: the mobilization (+) group (n = 12) and the mobilization (-) group (n = 20). Hepatic function tests were performed in all patients.
RESULTS
Mobilization provided a satisfactory view of the working field, especially the gastroesophageal junction and the angle of His during laparoscopic total gastrectomy, and no complications were observed during liver retraction. On postoperative hepatic function testing, there was no significant difference between the two groups on any day.
CONCLUSIONS
Combined liver mobilization and retraction may be helpful in laparoscopic total gastrectomy.
引言
在腹腔镜胃切除术期间，建立良好的手术视野并确保足够的操作空间非常重要。联合肝脏游离和牵拉方法用于获得安全且最佳的视野。
方法
我们回顾性分析了32例连续接受腹腔镜胃癌全胃切除术的患者。患者被分为两组：游离（+）组（n = 12）和游离（-）组（n = 20）。对所有患者进行肝功能检查。
结果
在腹腔镜全胃切除术期间，肝脏游离提供了满意的手术视野，尤其是胃食管交界处和希氏角，并且在肝脏牵拉过程中未观察到并发症。术后肝功能检查显示，两组在任何一天均无显著差异。
结论
联合肝脏游离和牵拉可能有助于腹腔镜全胃切除术。
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