应用新型吻合器的腹腔镜贲门癌切除术

Application of new stapler in laparoscopic resection of cardiac carcinoma

目的:探讨腹腔镜贲门癌切除术中新型吻合器(OrVil)的应用技术和效果。方法:回顾分析2009年8月至2010年8月为12例贲门癌患者行腹腔镜贲门癌切除术的临床资料。结果:所有手术均获成功,无手术死亡病例及严重并发症发生。手术时间(204.2±23.2)min,术中出血(116.4±40.3)ml,切除食管长度(3.9±0.2)cm,清扫淋巴结数(29.7±1.3)枚,术后引流量(269.5±36.9)ml,肛门排气时间(3.7±1.1)d,下床活动时间(4.7±1.3)d。术后随访3～12个月,1例发生反流性食管炎,余均无并发症发生及肿瘤复发和转移。结论:应用新型吻合器(OrVil)的腹腔镜贲门癌切除术安全可行,微创优势明显,可在临床推广应用。

Objective：The purpose of this study was to investigate the technique and effect of applying new type stapler （OrVil） for laparoscopic cardiac carcinoma resection.Methods：The clinical data of 12 cardiac carcinoma patients who suffered from cardiac carcinoma and underwent laparoscopic resection from Aug.2009 to Aug.2010 was analyzed retrospectively.Results：All surgeries were successful with no death or serious complications.The operation time for 12 patients was （204.2±23.2）min.Blood loss during operation was （116.4±40.3）ml.Esophagus resection length was （3.9±0.2）cm.Harvested lymph nodes were （29.7±1.3）.Post-operative drainage was （269.5±36.9）ml.Anal exsufflation time was （3.7±1.1）d.Off-bed activity time was （4.7±1.3）d.Besides one case of reflux esophagitis,there was no complications,tumor recurrence or metastasis during 3-12 months＇ follow-up.Conclusions：The application of new type stapler（Orvil） for laparoscopic cardiac carcinoma resection is safe and feasible with microinvasion.Thus,it can be applied clinically.