经口置入钉砧头系统(OrVil)在腹腔镜胃癌根治术中的应用

Application of trans-orally placed anvil(OrVil) in treatment of laparoscopic gastrectomy

目的探讨经口置入钉砧头系统(OrVil)在腹腔镜胃癌根治术中的应用可行性及近期疗效。方法回顾性分析解放军总医院2010年3月至2011年12月收治的采用经口置入钉砧头系统(OrVil)在腹腔镜下行胃癌根治术的84例患者的临床资料,用logistic模型对围手术期并发症进行多因素。结果 84例患者均在腹腔镜下完成手术,其中近端胃切除52例,全胃切除32例。平均手术时间:(219.88±48.91)min;术中平均出血量:(178.57±190.48)ml。平均清扫淋巴结数:(21.88±8.22)枚。5例发生严重并发症,无死亡。结论 OrVil在腹腔镜辅助下行胃癌根治术中的应用是安全可行的,能够取得良好的近期疗效。

Objective To observe the feasibility and efficacy of the trans -orally placed anvil（OrVil） in the treatment of laparoscopic gastrectomy. Methods A retrospective analysis of 84 consecutive patients 0ffered laparoscopic gastrectomy using the OrVil in the PLA General Hospital from March 2010 to December 2011. The multivariate logistic model is used to investigate the correlations between clinical factors and complications. Results laparoscopic surgeries were undergoing in all 84 cases, including 52 cases of proximal gastrectomy, 32 cases total gastrectomy. The average operation time was （219. 88 ±48.91 ） min. The average blood loss was （ 178. 57 ± 190.48 ） ml. The average number of lymph nodes resected was （21.88 ± 8. 22）. 5 patients got serious complications. No operative mortality. Conclusions The OrVil in the laparoscopic gastrectomy allows for an efficient, safe and reproducible anastomosis.