全腹腔镜全胃切除术食管空肠器械吻合技术难点及对策  

The technical difficulties and countermeasures of esophagojejunostomy in totally laparoscopic total gastrectomy

作　　者：苏向前[1] 姚震旦[1] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心四病区恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中国实用外科杂志》2016年第9期945-948,共4页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.81272766);国家高技术研究发展计划(863)资助项目(No.2014AA020603);首都临床特色应用研究(No.Z121107001012130);北京市医院管理局临床医学发展专项经费资助(No.XM201309)

摘　　要：近年来,全腹腔镜下全胃切除术运用越来越广泛,然而全胃切除术后的食管空肠吻合相对复杂,目前临床上常用的有圆形吻合器行端侧吻合和直线切割闭合器行侧侧吻合。上述两种方法各有利弊,应根据病人的具体情况,选择合适的吻合方法,利于病人术后恢复。In recent years, totally laparoscopic total gastrectomy has been more and more widely used. However, esophagojejunostomy followed by total gastrectomy is relatively complex. End-to-side anastomosis using double stapling device and side-to-side anastomosis using linear stapling device are applied commonly. The two methods have both advantages and disadvantages. So surgeons should choose appropriate methods of anastomosis according to the specific circumstances for patients＇ recovery.

关 键 词：全腹腔镜全胃切除术 食管空肠器械吻合 反穿 刺法 

分 类 号：R6[医药卫生—外科学]