摘要
目的探讨反穿刺技术在腹腔镜食管-残胃(空肠)吻合术中应用的可行性及临床效果。方法回顾性分析2015年1月～2016年6月32例胃食管交界部腺癌行腹腔镜全胃切除或根治性近端胃大部切除术的临床资料。均在腔镜下切开食管前壁,运用反穿刺技术置入抵钉座,完成食管-残胃(空肠)吻合。结果全组均顺利完成手术,手术时间157～245 min(平均186 min),抵钉座置入时间9～16 min(平均13 min),术中出血70～150 ml(平均95 ml),辅助切口长4. 2～5. 1cm(平均4. 7 cm),术后住院时间8～12 d(平均10 d),未发生吻合口漏、狭窄、出血等并发症。结论反穿刺技术在腹腔镜食管-残胃(空肠)吻合术中能简化手术操作,安全可靠,腹壁辅助切口小,值得推广。
Objective To investigate the safety and application value of the reverse puncture technique in laparaseopie esophagogastrostomy （esophagojejunostomy）. Methods From January 2015 to June 2016, 32 cases of adenoeareinoma of esophagogastrie junetion underwent laparoseopie transhiatal total gastreetomy or near gastreetomy. And their elinieal data were analyzed retrospeetively. The anterior esophageal wall was opened under laparoseope, and then the anvil was transorally inserted into esophagus by reverse puneture teehnique to aeeomplish esophagogastrostomy （esophagojejunostomy）. Results All the laparoseopie operations were sueeessful. The operation time was 157 -245 min （mean, 186 min） , the anvil plaeement time was 9 - 16 min （mean, 13 min） , the blood loss was 70 - 150 ml （mean, 95 ml）, the auxiliary ineision length was 4. 2 - 5. 1cm （mean, 4.7 cm）, and the postoperative hospital stay was 8 - 12 d （mean, 10 d）. No eomplieations sueh as anastomotie leakage, stenosis or bleeding oeeurred. Conclusion Reverse puncture ean be operated simply and feasibly in esophagogastrostomy and esophagojejunostomy, whieh shortens auxiliary ineision at abdominal wall, being worthy of promotion.
作者
胡凯峰
夏亚斌
许力
黄晓旭
金岩
张强
郭建
杨晨
Hu Kaifeng;Xia Yabin;Xu Li(Department of Gastrointestinal Surgery,Yijishan Hospital of Wannan Medical College,Wuhu 241001,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第11期997-999,共3页
Chinese Journal of Minimally Invasive Surgery
基金
安徽省高校省级科研重点项目(KJ2011A264)
安徽省高校自然科学研究重点项目(KJ2018A0247)
