中国普通外科杂志2017，Vol.26Issue(4)：457-462,6.DOI:10.3978/j.issn.1005-6947.2017.04.009
食管悬吊法食管空肠吻合在完全腹腔镜全胃切除术中的应用
Application of esophageal suspension method for
esophagojejunostomy during totally laparoscopy total gastrectomy
潘华 1黄俊 1罗洪亮 1朱正明1
作者信息
- 1. 南昌大学第二附属医院 胃肠外科,江西 南昌 330006
- 折叠
摘要
Abstract
Objective: To investigate the safety and efficacy of using esophageal suspension method for manual esophagojejunostomy following totally laparoscopic total gastrectomy (TLTG).Methods: The clinical data of 34 patients undergoing TLTG and esophageal suspension manual esophagojejunostomy (suspension group) from January 2016 to January 2017 were retrospectively analyzed, and they were compared with the clinical data of 17 patients undergoing TLTG and traditional manual esophagojejunostomy (traditional group) during the same period.Results: The preoperative data of the two groups were comparable. Operations were successfully completed in all the 34 patients without any open conversion. In suspension group compared with traditional group, except for the length of incision that showed no significant difference (3.75 cmvs. 3.79 cm,P=0.142), the intraoperative variables that included the operative time (198.35 minvs. 211.65 min), anastomosis time (27.82 minvs. 48.74 min) and blood loss (49.68 mLvs. 50.85 mL) were all significantly improved (allP<0.05); the postoperative variables that included the time to gas passage (2.61 dvs. 2.78 d), pain score (3.21vs. 3.89) and length of hospitalization (9.77 dvs. 10.32 d) were all significantly improved (allP<0.05). No relevant postoperative complications occurred in patients of both groups.Conclusion: Using esophageal suspension method for manual esophagojejunostomy during TLTG is safe and effective, with short-term efficacy superior to that of traditional esophagojejunostomy method.关键词
胃切除术/腹腔镜/吻合术,外科Key words
Gastrectomy/Laparoscopes/Anastomosis/Surgical分类
医药卫生引用本文复制引用
潘华,黄俊,罗洪亮,朱正明..食管悬吊法食管空肠吻合在完全腹腔镜全胃切除术中的应用[J].中国普通外科杂志,2017,26(4):457-462,6.
