完全腹腔镜根治性全胃切除术中食管空肠侧侧π形吻合的实践  

The application of total laparoscopy in radical gastrectomy with π-shaped esophagojejunal anastomosis

作　　者：廖梓群[1] 陈维荣[1] 陈喜贵[1] 蔡高阳[1] 邓希[1] 

机构地区：[1]汕头大学医学院第二附属医院普外科一病区,广东汕头515041

出　　处：《岭南现代临床外科》2017年第2期158-161,共4页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨完全腹腔镜技术在根治性全胃切除术的安全性和近期疗效。方法回顾8例腹腔镜下全胃切除术采用食管空肠侧侧π形吻合患者的临床资料和随访情况。结果 8例手术均在完全腹腔镜下顺利完成,无中转开腹,无手术死亡。平均手术时间292±32 min,平均出血量75±35 mL,术后平均住院日15±2 d。无手术并发症。术后随访3~12个月,无局部复发及远处转移,腹壁穿刺孔无肿瘤种植。结论完全腹腔镜技术应用于根治性全胃切除术中采用食管-空肠的π形吻合是安全可行的,近期手术效果令人满意。Objective To evaluate the safety and efficacy of total laparoscopy in radical gastrec- tomy. Methods A retrospective study was done on clinical data and follow up of 8 cases treated with laparoscopic radical gastrectomy with m-shaped esophagojejunal anastomosis. Results Total laparoscopy in radical gastrectomy was successfully performed for 8 patients. No ease was converted to open surgery. No intraoperative death occulted. The mean operation time, blood loss, postoperative hospital stay were （292±32） min, （75±35） ml, （15±2） days, respectively. There was no postoperative complications. All patients were followed up for 3 to 12 months. No local recurrence or distant metastase was found. No car- cinoma was implanted in the troear holes. Conclusions Total laparoseopy in radical gastreetomy is feasi- ble and safe and has a favorable short term outcome.

关 键 词：腹腔镜 全胃切除术 胃肿瘤 消化道重建 

分 类 号：R656.61[医药卫生—外科学]