期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

完全腹腔镜胃癌根治术消化道重建的方法与技巧 被引量：5

下载PDF
导出
摘要 腹腔镜手术视野清、切口小,患者术后切口疼痛轻,切口感染、裂开等相关并发症发生率低,术后恢复快,术后住院日缩短.目前,腹腔镜手术不仅用于治疗胆囊切除、脾脏切除等器官的良性病变,已开始用于肝脏和胰腺等富血供实质性器官,甚至胃肠道恶性肿瘤的根治性切除. 超声刀等器械解决了腹腔镜下切割止血和解剖分离等外科手术基本操作问题,可在胃周血管根部离断血管并清扫相应的淋巴结群,完成胃癌根治性切除.目前绝大多数术者仅在腹腔镜直视下完成淋巴结清扫,然后通过上腹部辅助小切口完成胃切除和消化道重建.确切地说,这种术式应称为腹腔镜辅助胃癌根治术( laparoscopy-assisted gastrectomy,LAG).
作者 牟一平 徐晓武
机构地区 浙江大学医学院附属邵逸夫医院普外科 浙江大学微创外科研究所
出处 《消化肿瘤杂志（电子版）》 2011年第3期136-137,共2页 Journal of Digestive Oncology(Electronic Version)
关键词 腹腔镜胃癌根治术 直线切割 闭合器 消化道
分类号 R735.2 [医药卫生—肿瘤]
  • 相关文献

参考文献7

  • 1Kim JJ,Song KY,Chin HM. Totally laparoscopic gastrectomy with various types of intracorporeal anastomosis using laparoscopic linear staplers:preliminary experience[J].Surgical Endoscopy,2008,(02):436-442.doi:10.1007/s00464-007-9446-y.
  • 2Lee WJ,Wang W,Chen TC. Totally laparoscopic radical BII gastrectomy for the treatment of gastric cancer:a comparison with open surgery[J].Surgical Laparoscopy Endoscopy and Percutaneous Techniques,2008,(04):369-374.
  • 3Kinoshita T,Shibasaki H,Oshiro T. Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer:a report of short-term outcomes[J].Surgical Endoscopy,2011,(05):1395-1401.
  • 4Omori T,Oyama T,Mizutani S. A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy[J].American Journal of Surgery,2009,(01):13-17.
  • 5Kinoshita T,Oshiro T,Ito K. Intracorporeal circularstapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy[J].Surgical Endoscopy,2010,(11):2908-2912.
  • 6Sakuramoto S,Kikuchi S,Futawatari N. Technique of esophagojejunostomy using transoral placement of the pretilted anvil head after laparoscopic gastrectomy for gastric cancer[J].Surgery,2010,(05):742-747.
  • 7Kunisaki C,Makino H,Oshima T. Application of the transorally inserted anvil (OrVil) after laparoscopy-assisted total gastrectomy[J].Surgical Endoscopy,2011,(04):1300-1305.

同被引文献47

  • 1余佩武,唐波.腹腔镜胃癌根治术常见并发症及中转开腹原因[J].中国实用外科杂志,2007,27(9):700-702. 被引量：33
  • 2Jeong O,Park YK. Intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVil) after laparoscopic total gastrectomy[J].Surgical Endoscopy,2009,(11):2624-2630.
  • 3Kitano S,Iso Y,Moriyama M. Laparoscopy-assisted Billroth I gastrectomy[J].Surgical Laparoscopy Endoscopy,1994,(02):146-148.
  • 4Wittgrove AC,Clark GW,Tremblay LJ. Laparoscopic gastric bypass,Roux-en-Y:preliminary report of five cases[J].Obesity Surgery,1994,(04):353-357.
  • 5Nguyen NT,Hinojosa MW,Smith BR. Advances in circular stapling technique or gastric bypass: transoral placement of the anvil[J].Obesity Surgery,2008,(05):611-614.
  • 6Hirahara N,Tanaka T,Yano S. Reconstruction of the gastrointestinal tract by hemi-double stapling method for the esophagus and jejunum using EEA OrVil in laparoscopic total gastrectomy and proximal gastrectomy[J].Surgical Laparoscopy Endoscopy and Percutaneous Techniques,2011,(01):11-15.
  • 7Zacharoulis D, Sioka E, Papamargaritis D, et al. Influence of the learning curve on safety and efficiency of laparoscopic sleeve gas- trectomy [ J ]. Obes Surg,2012,22 ( 3 ) :411 - 415.
  • 8Moore M J, Bennett CL. The learning curve for laparoscopic chole- cystectomy. Southern Surgeons Club [ J]. Am J Surg, 1995,170 (1) :55 -59.
  • 9Schlaehta CM,Mamazza J,Seshadri PA,et al. Defining a learning curve for laparoscopic eolorecta| resections[ J ]. Dis Colon Rectum, 2001,44(2) :217 -222.
  • 10Hirahara N, Tanaka T, Yano S, et al. Reconstruction of the gastrointestinal tract by hemi-double stapling method for the esophagus and jejunum using EEA OrVil in laparoscopic total gastrectomy and proximal gastrectomy[J].Surg Laparosc Endosc Percutan Tech, 2011,21 (1) : el 1-15.

引证文献5

二级引证文献29

消化肿瘤杂志（电子版）
2011年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部