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两阶段食管空肠吻合术：高危胃癌患者急诊胃切除术中的一种替代重建方法。

Two-stage esophagojejunal anastomosis: An alternative reconstruction in emergency gastrectomy for high-risk gastric cancer patients.

作者信息

Pizarro Eduardo, Vallejos Rodrigo, Norero Enrique, Diaz Alfonso, Ceroni Marco

机构信息

Esophagogastric Team, Sótero del Río Hospital, Pontifical Catholic University of Chile, Santiago, Chile.

San Borja Arriarán and Carmen de Maipú Hospital, Santiago, Chile.

出版信息

SAGE Open Med Case Rep. 2022 Feb 23;10:2050313X211066226. doi: 10.1177/2050313X211066226. eCollection 2022.

DOI:10.1177/2050313X211066226
PMID:35237440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8883396/
Abstract

Emergency total gastrectomy for patients with gastric cancer who are in shock carries a high risk of esophagojejunal anastomosis leakage. No alternatives have been reported to reduce this risk. This study reports two patients with gastric cancer who were in shock and underwent emergency gastrectomy and two-stage esophagojejunal anastomosis with good results. In the first stage, immediately after gastrectomy, the esophagus was attached to a Roux-en-Y jejunal loop that prevented retraction of the esophagus into the mediastinum. In the second stage, in a second surgery, the esophagojejunal anastomosis was completed under better clinical conditions.

摘要

对于处于休克状态的胃癌患者进行急诊全胃切除术，食管空肠吻合口漏的风险很高。尚未有降低这种风险的替代方法被报道。本研究报告了两名处于休克状态的胃癌患者，他们接受了急诊胃切除术和两阶段食管空肠吻合术，结果良好。在第一阶段，胃切除术后立即将食管附着于Roux-en-Y空肠袢，以防止食管回缩至纵隔。在第二阶段，在第二次手术中，在更好的临床条件下完成食管空肠吻合术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/c4c07a45490b/10.1177_2050313X211066226-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/429104aecdd9/10.1177_2050313X211066226-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/3073249d1205/10.1177_2050313X211066226-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/9681e3c6ce00/10.1177_2050313X211066226-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/5e6280280ae6/10.1177_2050313X211066226-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/7e66475ec75d/10.1177_2050313X211066226-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/c4c07a45490b/10.1177_2050313X211066226-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/429104aecdd9/10.1177_2050313X211066226-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/3073249d1205/10.1177_2050313X211066226-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/9681e3c6ce00/10.1177_2050313X211066226-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/5e6280280ae6/10.1177_2050313X211066226-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/7e66475ec75d/10.1177_2050313X211066226-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b151/8883396/c4c07a45490b/10.1177_2050313X211066226-fig6.jpg

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本文引用的文献

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Total gastrectomy in a case of complicated gastric volvulus: Case report and review of literature.复杂胃扭转一例的全胃切除术：病例报告及文献复习
Int J Surg Case Rep. 2021 Jan;78:303-306. doi: 10.1016/j.ijscr.2020.12.031. Epub 2020 Dec 16.
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RISK FACTORS FOR SEVERE POSTOPERATIVE COMPLICATIONS AFTER GASTRECTOMY FOR GASTRIC AND ESOPHAGOGASTRIC JUNCTION CANCERS.胃及食管胃交界部癌胃切除术后严重术后并发症的危险因素
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Successful treatment of gastric necrosis after ingestion of hydrochloric acid: a two-stage minimally invasive surgical procedure.
盐酸摄入后胃坏死的成功治疗：一种两阶段微创手术方法。
BMJ Case Rep. 2019 Oct 25;12(10):e231879. doi: 10.1136/bcr-2019-231879.
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Total esophagogastric dissociation (TEGD): Lessons from two decades of experience.全胃食管分离术（TEGD）：二十年经验教训。
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Two-Layer Hand-Sewn Esophagojejunostomy in Totally Laparoscopic Total Gastrectomy for Gastric Cancer.两层手工缝合食管空肠吻合术在完全腹腔镜下胃癌全胃切除术中的应用
J Gastric Cancer. 2017 Sep;17(3):267-276. doi: 10.5230/jgc.2017.17.e26. Epub 2017 Aug 16.
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Routine Use of Contrast Swallow After Total Gastrectomy and Esophagectomy: Is it Justified?全胃切除术和食管切除术后造影剂吞咽的常规使用：是否合理？
Pol J Radiol. 2017 Mar 28;82:170-173. doi: 10.12659/PJR.899951. eCollection 2017.
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Acute gastric volvulus: A vicious twist of tummy-case report.急性胃扭转：一例凶险的胃部扭转病例报告
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Esophagojejunal anastomosis leakage after total gastrectomy for esophagogastric junction adenocarcinoma: options of treatment.食管胃交界腺癌全胃切除术后食管空肠吻合口漏：治疗选择
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Gastric Gangrene Due to a Strangulated Paraesophageal Hernia-a Case report.绞窄性食管旁疝致胃坏疽——病例报告
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