完全腹腔镜胃癌根治术直线吻合器腔内重建技术

Intracorporeal anastomosis with linear stapler for totally laparoscopic radical gastrectomy

随着腹腔镜技术的规范和推广,完全腹腔镜胃癌根治术得到越来越多的应用,而镜下消化道重建是其难点。完全腹腔镜胃癌根治术的消化道重建常用方式包括圆型吻合器法、直线吻合器法和手工缝合法。与圆型吻合器法和手工缝合法相比较,直线吻合器法具有操作简便、视野更好、吻合口更大等优势。现就完全腹腔镜胃癌根治术中利用直线吻合器完成消化道重建的常用吻合方法结合临床实践进行介绍与评价。

With the standardization and promotion of laparoscopic technology, totally laparoscopic radical gastrectomy (TLRG) has been applied widely. The main difficult points of TLRG focus on digestive tract reconstruction. The common methods of digestive tract reconstruction in TLRG include circular stapler, linear stapler and manual suture. Compared with the circular stapler method and manual suture method, the linear stapler has the advantages of simple operation, better field of vision and larger caliber of anastomotic stoma. This article introduces and evaluates the common anastomotic methods of digestive tract reconstruction with linear stapler in TLRG.