全腹腔镜胃部分离断后胃肠吻合术治疗胃癌合并幽门梗阻的临床效果  

The clinical value of totally laparoscopic stomach-partitioning gastrojejunostomy for malignant gastric outlet obstruction

作　　者：刘昊 徐泉 马福海 马帅 李洋 李维坤 田艳涛 Liu Hao;Xu Quan;Ma Fuhai;Ma Shuai;Li Yang;Li Weikun;Tian Yantao(Department of Pancreatic and Gastric Surgery,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100021,China)

机构地区：[1]国家癌症中心,国家肿瘤临床医学研究中心,中国医学科学院北京协和医学院肿瘤医院胰胃外科,100021

出　　处：《中华肿瘤杂志》2020年第6期445-448,共4页Chinese Journal of Oncology

摘　　要：目的探讨全腹腔镜胃部分离断后胃肠吻合术(TLSPGJ)治疗胃癌合并胃输出道梗阻的效果。方法回顾性分析中国医学科学院肿瘤医院胰胃外科2018年9月至2019年9月完成的9例TLSPGJ患者的临床资料。结果9例患者的术中出血量为(13.3±5.0)ml,手术时间为(103.3±10.6)min。全部患者术后第1天可进食清流食,术后排气时间为(3.1±0.8)d,术后住院时间为(5.4±1.1)d。9例患者出院时均可耐受半流食,且围手术期未发生出血、胃排空延迟等并发症。结论TLSPGJ可有效治疗胃癌导致的胃输出道梗阻。Objective To explore the clinical value of totally laparoscopic stomach-partitioning gastrojejunostomy(TLSPGJ)for malignant gastric outlet obstruction.Methods The clinical data of 9 gastric cancer patients who underwent TLSPGJ in Department of Pancreatic and Gastric Surgery,Cancer Hospital between September 2018 and September 2019 were retrospectively analyzed.Results The mean operative blood loss of 9 cases were(13.3±5.0)ml,and the average operative time was(103.3±10.6)min.All patients received clear flow food on the first day after surgery.Postoperative first exhaust time was(3.1±0.8)days and the average postoperative hospital stay was(5.4±1.1)days.All of the 9 patients could tolerate semi-liquid food at discharge,and no postoperative complications such as bleeding or delayed gastric emptying occurred.Conclusion TLSPGJ is an effective treatment for gastric output tract obstruction caused by malignant tumor.

关 键 词：胃肿瘤 姑息手术 胃部分离断胃空肠吻合术 胃输出道梗阻 

分 类 号：R735.2[医药卫生—肿瘤]