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Minimally invasive Merendino procedure for a small gastroesophageal junction tumor with ArtiSential articulated instruments (with video).使用ArtiSential关节式器械对小型胃食管交界部肿瘤进行微创梅伦迪诺手术（附视频）
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本文引用的文献

1
Feasibility of articulating laparoscopic instruments in laparoscopic gastrectomy using propensity score matching.使用倾向评分匹配评估腹腔镜胃切除术中使用腹腔镜器械的可行性。
Sci Rep. 2023 Oct 13;13(1):17384. doi: 10.1038/s41598-023-44305-1.
2
Esophageal cancer practice guidelines 2022 edited by the Japan Esophageal Society: part 2.日本食管癌学会编辑的《2022年食管癌诊疗指南》：第2部分
Esophagus. 2023 Jul;20(3):373-389. doi: 10.1007/s10388-023-00994-1. Epub 2023 Mar 30.
3
Usefulness of articulating laparoscopic instruments during laparoscopic gastrectomy for gastric adenocarcinoma.腹腔镜下胃腺癌根治术中可弯曲腹腔镜器械的应用价值
J Minim Invasive Surg. 2021 Mar 15;24(1):35-42. doi: 10.7602/jmis.2021.24.1.35.
4
Esophagogastric junction adenocarcinomas: individualization of resection with special considerations for Siewert type II, and Nishi types EG, E=G and GE cancers.食管胃结合部腺癌：Siewert Ⅱ型及 Nishi 型 EG、E=G 和 GE 癌的个体化切除术
Gastric Cancer. 2020 Jan;23(1):3-9. doi: 10.1007/s10120-019-01022-x. Epub 2019 Nov 6.
5
Multicenter retrospective study to evaluate the efficacy and safety of the double-flap technique as antireflux esophagogastrostomy after proximal gastrectomy (rD-FLAP Study).多中心回顾性研究以评估双瓣技术作为近端胃切除术后抗反流食管胃吻合术的疗效和安全性（rD-FLAP研究）。
Ann Gastroenterol Surg. 2018 Oct 11;3(1):96-103. doi: 10.1002/ags3.12216. eCollection 2019 Jan.
6
A laparoscopic vagus-preserving Merendino procedure for early esophageal adenocarcinoma.腹腔镜下保留迷走神经的 Merendino 手术治疗早期食管腺癌。
Surg Endosc. 2010 May;24(5):1195-9. doi: 10.1007/s00464-009-0736-4. Epub 2009 Dec 8.
7
Gastrojejunal anastomotic strictures following laparoscopic Roux-en-Y gastric bypass surgery: analysis of 1291 patients.腹腔镜Roux-en-Y胃旁路手术后的胃空肠吻合口狭窄：1291例患者的分析
Surg Obes Relat Dis. 2006 Mar-Apr;2(2):92-7. doi: 10.1016/j.soard.2005.10.014.

使用ArtiSential关节式器械对小型胃食管交界部肿瘤进行微创梅伦迪诺手术（附视频）

Minimally invasive Merendino procedure for a small gastroesophageal junction tumor with ArtiSential articulated instruments (with video).

作者信息

Jagric Tomaz

机构信息

Department for General and Abdominal Surgery, University Clinical Center Maribor, Maribor, Slovenia.

出版信息

J Minim Invasive Surg. 2025 Sep 15;28(3):151-153. doi: 10.7602/jmis.2025.28.3.151.

DOI:10.7602/jmis.2025.28.3.151
PMID:40947933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12439042/
Abstract

A proximal gastrectomy is sufficient for patients with small gastroesophageal junction (GEJ) tumors. Continuity can be restored with an esophagojejunostomy with jejunal interposition, offering significant functional advantages. However, the primary challenge is creating a mediastinal anastomosis. This multimedia article demonstrates our technique for laparoscopic proximal gastrectomy with jejunal interposition and hand-sewn esophagojejunostomy, performed using ArtiSential wristed instruments, in a 76-year-old woman with Siewert type II gastroesophageal junction cancer staged as cT2N0M0.

摘要

对于患有小的胃食管交界（GEJ）肿瘤的患者，近端胃切除术就足够了。通过空肠间置的食管空肠吻合术可以恢复消化道的连续性，具有显著的功能优势。然而，主要的挑战是进行纵隔吻合。这篇多媒体文章展示了我们使用ArtiSential腕部器械，为一名76岁、cT2N0M0分期的Siewert II型胃食管交界癌女性患者实施腹腔镜近端胃切除术并空肠间置及手工缝合食管空肠吻合术的技术。