完全腹腔镜下应用直线切割吻合器行胃十二指肠吻合术的体会

Experiences on 17 gastric cancer patients receiving totally laparoscopic distal gastrectomy and intracorporeal gastroduodenostomy using laparoscopic linear staplers

目的 探讨完全腹腔镜下腹腔内直线切割吻合器行胃十二指肠吻合术的安全性与可行性.方法 回顾性分析浙江省丽水市中心医院胃肠外科2012年6月至2013年6月间17例完全腹腔镜下胃癌根治术,使用腹腔内直线型切割吻合器行胃十二指肠吻合术胃癌患者的临床资料.结果 本组17例平均手术时间是（2.6±0.4）h,除1例中转开腹,其余均在完全腹腔镜下完成手术,术后无严重并发症和死亡病例,术后疼痛评估好于腹腔镜辅助手术. 结论 在完全腹腔镜下胃癌根治术时,使用腹腔内直线型切割吻合器行胃十二指肠吻合术这种新的吻合方式是安全可行的.

Objective To evaluate the safety and feasibility of totally laparoscopic radical distal gastrectomy （TLDG）and intracorporeal gastroduodenostomy using laparoscopic linear staplers in gastric cancer patients.Methods Clinical data were reviewed on the perioperative outcomes of 17 gastric cancer patients who received totally laparoscopic distal gastrectomy and intracorporeal gastroduodenostomy using endoscopic linear staplers from June 2012 to June 2013 at Department of General Surgery,Lishui Central Hospital.Results The mean operation time were （2.6 ± 0.4） h,TLDG with deltashaped anastomosis was successfully carried out in all the patients except for 1 case who was converted to open surgery.There was no serious complication and no death in this series.The postoperative pain in TLDG was less than laparoscopy assisted distal gastrectomy.Conclusions Totally laparoscopic distal gastrectomy and intracorporeal gastroduodenostomy using endoscopic linear staplers is a new method with high safety and feasibility.