“胃蒂”组织一步离断法在腹腔镜贲门周围血管离断术中的应用  

Application of ＆quot;stomach pedicle＆quot; disconnected by one cutting in laparoscopic pericardial devascularization

作　　者：施申超[1] 唐勇[1] 张宇[1] 陈庆[1] 冯贤松[1] 万赤丹[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院肝胆外科,武汉430022

出　　处：《腹部外科》2015年第3期189-192,共4页Journal of Abdominal Surgery

摘　　要：目的 研究“胃蒂”组织一步离断法在腹腔镜贲门周围血管离断术中的应用.方法 回顾性分析自2012年8月至2015年1月行腹腔镜贲门周围血管离断术136例的临床资料,分为逐支血管离断法（A组,27例）,“胃蒂”组织一步离断法（B组,109例）,比较两组的手术时间、术中出血量、中转率、术后再出血发生率、术后住院时间等指标.结果 A组与B组相比,手术时间较长[（103.4±45.1） min与（62.3±32.4） min]、术中出血量较多[（120.5±62.3） ml与（67.3±31.8） ml]、中转率较高（7.4％与0％）,两组之间的差异均有统计学意义（P＜0.05或P＜0.01）.两组术后再发呕血黑便发生率、术后腹腔出血发生率、术后住院时间的差异均无统计学意义（P＞0.05）.结论 “胃蒂”组织一步离断法在腹腔镜贲门周围血管离断术中有较大优势,在临床上有推广价值.Objective To study the application of ＂stomach pedicle＂ disconnected by one cutting in laparoscopic pericardial devascularization. Methods The Clinical data of 136 patients who under- went laparoscopic pericardial devascularization from Aug. 2012 to Jan. 2015 were retrospectively ana- lyzed. They were divided by group A （27 cases; ligation of vessels one by one） and group B （109 ca- ses; the application of ＂stomach pedicle＂ disconnected by one cutting）. Operative time, blood loss, conversion rate, postoperative rebleeding rate and postoperative hospital stay were compared between two groups. Results There were significant differences between group A and group B in terms of op- erative time, blood loss and conversion rate （P〈0. 05 or P〈0. 01）. No significant differences in post- operative rebleeding rate and postoperative hospital stay were found between two groups （P〉0. 05）. Conclusions It is of great advantages of the application of ＂stomach pedicle＂ disconnected by one cut-ting in laparoscopic pericardial devascularization.

关 键 词：腹腔镜 贲门周围血管离断术 门静脉高压 

分 类 号：R735.4[医药卫生—肿瘤]