全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2019 

残胃近端空肠反转Roux-en-Y吻合在全腹腔镜远端胃癌根治术中的应用 Application of stomach reversal jejunum Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy

Keywords: 胃癌,全腹腔镜远端胃切除,胃空肠Roux-en-Y吻合

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的:探讨全腹腔镜远端胃癌根治术后采用残胃近端空肠反转Roux-en-Y吻合进行消化道重建的手术方式的临床应用。方法:回顾性总结12例远端胃癌患者行全腹腔镜下远端胃癌根治术后采用残胃近端空肠反转Roux-en-Y吻合的消化道重建方式的手术方法和手术后情况。结果:12例患者均完成全腹腔镜下残胃近端空肠反转Roux-en-Y吻合,手术时间(265.0±23.6) min,消化道重建时间(46.0±13.2) min,出血量为(57.0±19.5) mL。术后患者排气时间为(2.7±0.5) d,术后住院时间为(8.2±1.4) d,淋巴结清扫数目(29.4±5.6)枚,没有发生手术相关早期并发症。结论:全腹腔镜下采用残胃近端空肠反转Roux-en-Y吻合的消化道重建的方式安全,操作简便,术后恢复快,更符合肿瘤手术无瘤原则,是一种理想的全腹腔镜胃癌根治术后消化道重建方式

References

[1]  Lee SH,Kim IH,Kim IH.Comparison of short-term outcomes and acute inflammatory response between laparoscopy-assisted and totally laparoscopic distal gastrectomy for early gastric cancer[J].Ann Surg Treat Res,2015,89(4):176-182.
[2]  JY An,Cho I,Choi YY.Totally laparoscopic Roux-en-Y gastrojejunostomy after laparoscopic distal gastrectomy:analysis of initial 50 consecutive cases of single surgeon in comparison with totally laparoscopic BillrothⅠreconstruction[J].Yonsei Med J,2014,55(1):162-169.
[3]  Kim MG,Kim KC,Kim BS,et al.A totally laparoscopic distal gastrectomy can be an effective way of performing laparoscopic gastrectomy in obese patients(body mass index≧30)[J].World J Surg,2011,35(6):1 327-1 332.
[4]  徐晓武,牟一平,严加费,等.完全腹腔镜胃癌根治术的临床应用[J].中华医学杂志,2010,90(6):386-389.Xu XW,Mo YP,Yan JF,et al.Totally laparoscopic gastrectomy for gastric cancer[J].National Medical Journal of China,2010,90(6):386-389.
[5]  臧潞,胡伟国,郑民华.完全腹腔镜全胃切除术后消化道重建的难点与技巧[J].中华胃肠外科杂志,2014,17(8):747-749.Zang L,Hu WG,Zheng MH.Difficulty and skill of digestive tract reconstruction after totally laparoscopic total gastrectomy[J].Chinese Journal of Gastrointestinal Surgery,2014,17(8):747-749.
[6]  Song KY,Paek CH,Kang HC,et al.Is totally laparoscopic gastrectomy less invasive than laparoscopy-assisted gastrectomy?Prospective,multicenter study[J].J Gastrointest Surg,2008,12(6):1 015-1 021.
[7]  Shim JH,Oh SI,Yoo HM,et al.Roux-en-Y gastrojejunostomy after totally laparoscopic distal gastrectomy:comparison with BillorthⅡreconstruction[J].Surg Laparosc Endosc Percutan Tech,2014,24(5):448-451.
[8]  Uyama I,Sakurai Y,Komori Y,et al.Laparoscopy-assisted uncut Roux-en-Y operation after distal gastrectomy for gastric cancer[J].Gastric Cancer,2005,8(4):253-257.
[9]  黄玉琴,王森,汤东,等.非离断式Roux-en-Y吻合在腹腔镜远端胃癌根治性切除术中的应用[J].中华消化外科杂志,2016,15(3):247-252.Huang YQ,Wang S,Tang D,et al.Application of uncut Roux-en-Y anastomosis in laparoscopic distal radical gastrectomy of gastric cancer[J].Chinese Journal of Digestive Surgery,2016,15(3):247-252.
[10]  Okabe H,Obama K,Tsunoda S,et al.Advantage of completely laparoscopic gastrectomy with linear stapled reconstruction:a long-term follow-up study[J].Ann Surg,2014,259(1):109-116.
[11]  Motoyama K,Kojima K,Hayashi M,et al.β-Shaped intracorporeal Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy[J].Gastric Cancer,2014,17(3):588-593.
[12]  Bouras G,Lee SW,Nomura E,et al.Surgical outcomes from laparoscopic distal gastrectomy and Roux-en-Y reconstruction:evolution in a totally intracorporeal technique[J].Surg Laparosc Endosc Percutan Tech,2011,21(1):37-41.

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133