摘要
目的介绍全腹腔镜远端胃癌根治术后采用胃空肠Roux-en-Y吻合进行消化道重建的手术方式。方法回顾性总结10例远端胃癌患者施行全腹腔镜下远端胃癌根治术后采用胃空肠Roux-en-Y吻合的消化道重建方式的具体手术方法和术后恢复情况。结果 10例患者均完成全腹腔镜下Roux-en-Y重建,出血量为(57.0±19.5)ml,消化道重建时间(48.0±15.3)分钟,术后患者胃管拔除时间为(4.4±0.7)天,术后住院时间为(8.0±1.2)天,平均清扫淋巴结(27.5±4.7)枚,下切缘距病变距离为(3.0±0.6)cm,上切缘距病变距离为(4.9±0.8)cm,未发生手术相关并发症。结论全腹腔镜下采用胃空肠Roux-en-Y吻合的重建方式操作简便,安全有效,术后并发症少,患者生活质量高,是一种理想的全腹腔镜胃癌手术方式。
Objective To introduce the surgical method of Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy(TLDG). Method Retrospectively analyzed the surgical technique and postoperative recovery of 10 distal gastric cancer patients who received TLDG with Roux-en-Y anastomosis. Result TLDG and Roux-en-Y anastomosis were completed successfully in all 10 patients. The average blood loss was(57.0±19.5) ml;the average time of anastomosis was(48.0±15.3) minutes. The average of stomach tube removal time was(4.4±0.7) days, and the length of hospital stay after operation was(8.0±1.2) days. The average number of dissected lymph nodes was(27.5±4.7), the distance from lesion to lower margin was(3.0±0.6) cm, from lesion to upper margin was(4.9±0.8) cm. No surgeryrelated complications happened. Conclusion The TLDG with Roux-en-Y anastomosis was safe and effective. It was an ideal anastomosis method for TLDG, with less complications and higher quality of life.
出处
《中国医刊》
CAS
2016年第2期35-38,共4页
Chinese Journal of Medicine