中国实用外科杂志2017，Vol.37Issue(4)：369-373,5.DOI:10.19538/j.cjps.issn1005-2208.2017.04.12
全腹腔镜胃癌根治术消化道重建及相关并发症处理
Digestive tract reconstruction and its complications after totally laparoscopic gastrectomy for gastric cancer
臧潞 1马君俊1
作者信息
- 1. 上海交通大学医学院附属瑞金医院胃肠外科上海市微创外科临床医学中心,上海200025
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摘要
Abstract
The digestive tract reconstruction includes Delta anastomoses (Billroth I), Billroth Ⅱ anastomoses, and gastro-jejunal Roux-en-Y anastomoses in totally laparoscopic distal gastrectomy (TLDG). Billroth I with Delta anastomoses has a strict indication in TLDG. Gastro-jejunal Roux-en-Y anastomoses is now more popular. Billroth Ⅱ with Braun anastomoses and uncut Roux-en-Y anastomoses are technically easier to carry on in TLDG than Roux-en-Y. The digestive tract reconstruction includes anastomoses using linear stapler and circular stapler in totally laparoscopic total gastrectomy (TLTG). Linear stapler has more advantages in TLTG recently because it is a real"total laparoscopy"technique. The GI tract reconstruction in totally laparoscopic gastrectomy has a better visualization and a better working place than the reconstruction in a small incision. With the development of the technique and skill,the complication rate becomes lower recently.关键词
胃癌/腹腔镜/消化道重建/并发症Key words
gastric cancer/laparoscopy/digestive tract reconstruction/complication分类
医药卫生引用本文复制引用
臧潞,马君俊..全腹腔镜胃癌根治术消化道重建及相关并发症处理[J].中国实用外科杂志,2017,37(4):369-373,5.
