腹腔镜联合胃镜胃腔内手术13例报告  

Endoscopic Combined with Laparoscopic Intragastric Resection in 13 Patients with Gastroesophageal Submucosal Lesions

作　　者：徐宗珍[1] 吕巨伟[1] 李国栋[2] 李涛[1] 修鹏[1] 贾欣永[2] 李杰[1] 

机构地区：[1]山东省千佛山医院肝胆外二科,济南250014 [2]山东省千佛山医院内镜诊疗科,济南250014

出　　处：《中国微创外科杂志》2016年第6期546-548,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：山东省自然科学基金(ZR2012HL05)

摘　　要：本文报道2011年11月～2015年4月腹腔镜联合胃镜胃腔内手术治疗贲门部黏膜下病变13例。在胃镜及腹腔镜监视下,穿刺胃前壁建立胃腔内操作空间,应用腹腔镜器械进行胃腔内手术。11例完成腹腔镜联合胃镜胃腔内手术,2例中转腹腔镜胃壁楔形切除。手术时间40～130 min,平均105 min,出血10～150 ml,平均20 ml。术后当日下床活动,第2天进食流质饮食,无并发症发生。腹腔镜联合胃镜胃腔内手术治疗贲门部黏膜下病变安全、简便、可行。A total of 13 patients with gastroesophageal submucosal lesions treated with combined endoscopic and laparoscopic intragastric surgery from November 2011 to April 2015 were analyzed retrospectively. Under the guidance of laparoscopy and endoscopy,trocars were placed into the gastric lumen,penetrating both the abdominal wall and stomach wall to establish the operative space. Among the 13 cases,combined endoscopic and laparoscopic intragastric surgery was completed in 11 cases,while conversions to laparoscopic wedge resection of stomach were required in 2 cases. The mean operative time was 105 min（ range,40- 130 min） and the mean blood loss was 20 ml（ range,10- 150 ml）. All the patients started a fluid diet on the second postoperative day and no complications occurred. The combined endoscopic and laparoscopic intragastric surgery is a safe,simple and feasible technique for gastroesophageal submucosal lesions.

关 键 词：腹腔镜外科 胃镜 胃腔内手术 

分 类 号：R656.6[医药卫生—外科学]