早期胃癌完全腹腔镜下远端胃切除术联合D2淋巴结清扫术后的未离断Roux-en-Y重建术
Uncut Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy with D2 lymph node dissection for early stage gastric cancer.
作者信息
Huang Hua, Long Ziwen, Xuan Yi
机构信息
Department of Gastric Cancer and Soft Tissue Sarcoma, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
出版信息
J Vis Surg. 2016 Jan 10;2:6. doi: 10.3978/j.issn.2221-2965.2015.12.04. eCollection 2016.
BACKGROUND
Roux Stasis Syndrome is a well-known complication after Roux-en-Y reconstruction. Uncut Roux-en-Y technique, would preserve unidirectional intestinal myoelectrical activity and diminish Roux Stasis Syndrome.
METHODS
A 61 years old woman with moderately differentiated adenocarcinoma of antrum who was diagnosed by gastroscopy and histological test, underwent totally laparoscopic distal gastrectomy (TLDG) with D2 lymph node dissection and uncut Roux-en-Y reconstruction (URYR).
RESULTS
The length of operation was 190 min with bleeding of about 40 mL. The patient recovers well postoperation and discharged from hospital on the 7 day.
CONCLUSIONS
TLDG with intracorporeal uncut Roux-en-Y gastrojejunostomies using laparoscopic linear staplers was safe and feasible with minimal invasiveness.
背景
Roux 淤滞综合征是 Roux-en-Y 重建术后一种众所周知的并发症。非离断 Roux-en-Y 技术可保留单向肠道肌电活动并减少 Roux 淤滞综合征。
方法
一名 61 岁女性，经胃镜及组织学检查诊断为胃窦中分化腺癌，接受了完全腹腔镜下远端胃癌根治术（TLDG），行 D2 淋巴结清扫及非离断 Roux-en-Y 重建术（URYR）。
结果
手术时长 190 分钟，出血约 40 毫升。患者术后恢复良好，于术后第 7 天出院。
结论
使用腹腔镜直线切割吻合器行体内非离断 Roux-en-Y 胃空肠吻合的完全腹腔镜下远端胃癌根治术安全可行，创伤极小。
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