中国实用外科杂志2018，Vol.38Issue(1)：110-113,4.DOI:10.19538/j.cjps.issn1005-2208.2018.01.25
腹腔镜下改良Overlap法食管空肠吻合11例临床分析
Modified totally laparoscopic Overlap esophagojejunal anastomosis: A safe and feasible technique
摘要
Abstract
Objective To modify the totally laparoscopic overlap esophagojejunal anastomosis,and evaluate the efficiency and safety of this modified overlap anastomosis.Methods Clinical data of 11 patients with upper gastric cancer performed totally laparoscopic radical gastrectomy between February and December 2015 in Department of General Surgery,Guangdong General Hospital were analyzed retrospectively.All patients underwent modified Overlap esophageal-jejunum anastomosis,which made the linear anastomosis into a triangular anastomosis,and used the device to close the common anastomosis.Intraoperative and postoperative conditions were observed.Results The modified overlap anastomosis was successfully applied to 11 patients.The mean esophagojejunal anastomosis times were from 22 to 65min (median time 36min).The lengths of incision were from 5.0 to 7.0 cm (median length 5.5cm).The times of return to liquid diet after surgery were from 3 to 5days (median time 4 days),while postoperative hospital stay was from 6 to 11 days (median time 8days).No anastomotic leakage and anastomotic stenosis was found before discharge.No patients had anastomotic stenosis after three months of follow-up angiography again.Conclusion Modified overlap laparoscopic esophagojejunal anastomosis is a portable and feasible technique for anastomosis.关键词
改良Overlap/全腹腔镜/食管空肠吻合/胃癌Key words
modified Overlap/totally laparoscopy/esophagojejunal anastomosis/gastric cancer分类
医药卫生引用本文复制引用
郑佳彬,吴德庆,王俊江,胡伟贤,冯兴宇,杨梓锋,李勇..腹腔镜下改良Overlap法食管空肠吻合11例临床分析[J].中国实用外科杂志,2018,38(1):110-113,4.基金项目
广东省自然科学基金项目(No.2016A030313762) （No.2016A030313762）
