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Uncut Roux-en-Y吻合方式在全腹腔镜下远端胃癌根治术中的应用

Clinical application of Uncut Roux-en-Y anastomosis in radical resection of distal gastric cancer under total laparoscopic surgery
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摘要 目的探讨Uncut Roux-en-Y吻合方式在全腹腔镜下远端胃癌根治术中的应用及安全性。方法回顾性分析52例接受全腹腔镜下远端胃癌根治术Uncut Roux-en-Y吻合患者的临床资料。结果 52例均顺利完成手术,手术总时间(202.2±36.4) min,消化道重建时间(49.1±5.9) min,术中出血量(79.2±62.5)ml,淋巴结清扫数目(27.23±11.6)枚,阳性淋巴结数目(4.3±7.2)枚,均无中转开腹。首次排气时间(2.7±0.8)d流质饮食时间(3.7±0.8)d半流质饮食时间(4.7±0.8)d术后住院时间(9.4±4.2)d。无围手术期死亡病例术后出现肺部感染、切口感染和下肢肌间静脉血栓形成各1例经保守治疗后好转后出院,均无出现Roux-en-Y综合症、倾倒综合征、吻合口溃疡及术后输入袢阻断部位复通,2例患者出现胆汁反流。结论 Uncut Roux-en-Y吻合方式应用于全腹腔镜远端胃癌根治术后的消化道重建是安全可行的临床疗效比较确切。
作者 费挺 周恩呈 FEI Ting;ZHOU Encheng
出处 《现代实用医学》 2021年第6期716-717,共2页 Modern Practical Medicine
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