腹腔镜辅助胃切除术后吻合方式对消化道重建的影响  

Impact of anastomotic patterns on gastrointestinal reconstruction following laparoscopy-assisted gastrectomy

作　　者：马峻杰[1] 陈永静[2] Ma Junjie;Chen Yongjing(Second Division,Department of General Surgery,Shanxi Provincial Cancer Hospital,Shanxi Hospital Affiliated to Chinese Academy of Medical Sciences Cancer Hospital,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030001,China;Third Division,Department of Gastroenterology,Shanxi Provincial Cancer Hospital,Shanxi Hospital Affiliated to Chinese Academy of Medical Sciences Cancer Hospital,Cancer Hospital Affiliated to Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西省肿瘤医院,中国医学科学院肿瘤医院山西医院,山西医科大学附属肿瘤医院普外二科,太原030001 [2]山西省肿瘤医院,中国医学科学院肿瘤医院山西医院,山西医科大学附属肿瘤医院消化三科,太原030001

出　　处：《中华生物医学工程杂志》2022年第3期328-330,共3页Chinese Journal of Biomedical Engineering

摘　　要：比较传统Billroth-Ⅰ吻合与Overlap吻合方式腹腔镜辅助胃癌切除术后的消化道重建中的应用效果。研究发现Overlap吻合组消化道吻合时间、手术时间、首次排气时间及住院时间短于传统吻合组, 腹部切口长度短于传统吻合组(P<0.05)。提示腹腔镜辅助远端胃切除术将Overlap吻合应用于Billroth-Ⅰ消化道重建中可有效缩短患者术后吻合时间, 推荐应用。The purpose of this study was to compare the usefulness of classical Billroth-I anastomosis vs overlap anastomosis in gastrointestinal reconstruction after laparoscopy-assisted resection of gastric cancer.The study demonstrated shorter time for gastrointestinal anastomosis,shorter operation time,time to flatus,length of hospital stay,and shorter abdominal incision with overlap anastomosis compared with the classical Billroth-I anastomosis(P<0.05).These findings suggests that overlap anastomosis used for Billroth-I gastrointestinal reconstruction can effectively shorten the anastomosis time after laparoscopic distal gastrectomy,and is recommendable for clinical use.

关 键 词：Overlap吻合 Billroth-Ⅰ 消化道重建 

分 类 号：R656.61[医药卫生—外科学]