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在腹腔镜胃癌根治术中对胃后筋膜进行预扩张可防止对上短胃血管的损伤。

Pre-expansion of posterior gastric fascia during laparoscopic radical gastrectomy for gastric cancer prevents injuries to upper short gastric vessels.

作者信息

Li Lei, Chen Yuzhong, Du Jun, Wei Jun, Wang Kai, Zhang Song, Zhang Nianqing

机构信息

Department of Surgical Oncology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China.

出版信息

Transl Cancer Res. 2020 Jan;9(1):358-362. doi: 10.21037/tcr.2019.09.14.

Abstract

Splenic injuries during laparoscopic gastrectomy include splenic vascular injury, splenic parenchymal injury and splenic capsule injury. Sometimes, it can lead to lethal hemorrhage. The avoidance of splenic injuries in the laparoscopic radical gastrectomy for gastric cancer is important, especially for the obese patients. Establishing a safe method to avoid splenic injuries in laparoscopic total gastrectomy (LTG) is an urgent issue in the surgical procedure. We developed a novel approach by extended separation of the superficial plane of the posterior gastric fascia to avoid the splenic injury effectively.

摘要

腹腔镜胃切除术期间的脾损伤包括脾血管损伤、脾实质损伤和脾包膜损伤。有时,它可导致致命性出血。在腹腔镜胃癌根治术中避免脾损伤很重要,尤其是对于肥胖患者。在腹腔镜全胃切除术(LTG)中建立一种避免脾损伤的安全方法是该手术过程中的一个紧迫问题。我们通过扩大胃后筋膜浅层平面的分离开发了一种新方法,以有效避免脾损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f233/8798446/85577439919a/tcr-09-01-358-f1.jpg

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