腹腔镜全胃切除术后胃癌患者采用半双吻合器技术行体内食管空肠吻合术
Intracorporeal esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy in gastric cancer patients.
作者信息
Ali Bandar, Park Cho Hyun, Song Kyo Young
机构信息
Division of Gastrointestinal Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
Ann Surg Treat Res. 2017 Jan;92(1):30-34. doi: 10.4174/astr.2017.92.1.30. Epub 2016 Dec 30.
PURPOSE
To present the feasibility and safety of Roux-en-Y esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy.
METHODS
We reviewed the outcomes from 58 consecutive patients with gastric cancer who underwent laparoscopic total gastrectomy. The clinicopathological characteristics including postoperative complications were examined.
RESULTS
The mean age and body mass index were 57.3 ± 9.7 years and 23.7 ± 2.6 kg/m, respectively. The mean overall total operation was 199.8 ± 57.0 minutes. Intraoperative blood loss was 81.6 ± 56.3 mL and there was no open conversion. The patients' hospital stay was a mean 9.6 ± 2 days. The mean proximal margin of the specimens was 2.7 ± 1.8 cm. There were 3 cases (5.1%) of anastomosis leakage, but all were controlled successfully by endoscopic stent.
CONCLUSION
The circular HDST technique is simple and reliable without any significant demerits with respect to safety concerns or difficulty of operation.
目的
介绍腹腔镜全胃切除术后采用半双吻合器技术行Roux-en-Y食管空肠吻合术的可行性和安全性。
方法
我们回顾了58例连续接受腹腔镜全胃切除术的胃癌患者的手术结果。对包括术后并发症在内的临床病理特征进行了检查。
结果
平均年龄和体重指数分别为57.3±9.7岁和23.7±2.6kg/m²。平均总手术时间为199.8±57.0分钟。术中失血81.6±56.3mL，无中转开腹。患者平均住院时间为9.6±2天。标本近端切缘平均为2.7±1.8cm。有3例（5.1%）发生吻合口漏，但均通过内镜支架成功控制。
结论
圆形半双吻合器技术简单可靠，在安全性或操作难度方面没有任何明显缺点。
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