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利用经口输送钉砧系统(OrVil)行全腔镜食管癌根治术 被引量:3

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摘要 目的研究在全腔镜食管癌根治术中,进行消化道重建时运用经口输送钉砧系统(OrVil)的应用意义及经验。方法选取2011年1月至2011年10月期间,术中采用经口腔置入钉砧头手术治疗食管癌患者6例。先用腔镜游离胃,清扫腹腔淋巴结并制作管状胃,然后用腔镜在胸部游离食管,对胸部淋巴结进行清扫切除,在腔镜下利用经口输送钉砧系统(OrVil)进行食管胃端侧吻合手术。结果 6例均成功接受全腔镜下手术,无开胸开腹直视手术发生,未出现严重并发症甚至死亡病例,手术均获得成功。术后住院治疗时间平均18d,患者手术5d后开始流质饮食,在术后3个月的跟踪记录中,患者均未出现吻合口相关并发症。结论经口输送钉砧系统(OrVil)可有效地在全腔镜下行食管和胃吻合,是一种全新的消化道重建辅助工具。
出处 《中华普通外科学文献(电子版)》 2012年第5期40-42,共3页 Chinese Archives of General Surgery(Electronic Edition)
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参考文献8

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二级参考文献14

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  • 7Nguyen NT,Hinojosa MW,Smith BR,et al.Thoraeoscopic construction of an intrathoracic esophagogastric anastomosis using a eircular stapler:transoral placement of the anvil[J].Ann Thorac Surg,2008,86(3):989-992.
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  • 10Jeong Oh, Park YK. Intracorporeal circtdar stapling esophagoje- junostomy using the transorally inserted anvil (OlwilTM) after laparoscopic total gastrectomy. Surg Endosco, 2009,23 (11) : 2624-2630.

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