外科理论与实践2018，Vol.23Issue(1)：32-36,5.DOI:10.16139/j.1007-9610.2018.01.008
基于胃十二指肠重叠法三角吻合的全机器人远端胃癌根治术的临床应用(附2例报告)
Clinical application of totally robotic radical distal gastrectomy for gastric cancer using delta-shaped overlap gastroduodenostomy: a report of 2 cases
摘要
Abstract
Objective To investigate the feasibility and safety of totally robotic radical distal gastrectomy for gastric cancer using delta-shaped gastroduodenostomy with overlap method.Methods The clinical data of 2 patients with gastric cancer who underwent totally robotic radical distal gastrectomy using Da Vinci Si robotic surgical system in November 2017 were retrospectively analyzed.Results The first case was 33-year-old female with distal gastric cancer,and the second case was 77-year-old male.Both successfully underwent totally robotic radical distal gastrectomy with D2 lymphadenectomy and delta-shaped gastroduodenostomy using overlap method.Total operating time was 210 min and 240 min with the intraoperative blood loss of 20 mL and 100 mL,the harvested lymph nodes of 32 and 24,respectively.Both had cancer-free resection margin pathologically.The first flatus passage time was 3.0 d and 2.5 d postoperatively with the liquid food for 4 d and 5 d,respectively.Postoperative hospital stay was 6 d and 8 d,respectively.No postoperative complication was found in two cases.Conclusions Totally robotic radical distal gastrectomy for gastric cancer with deltashaped gastroduodenostomy using overlap method is feasible and safe.The further study is needed for the clinical value.关键词
胃肿瘤/达芬奇机器人手术系统/胃切除术/胃十二指肠吻合术/三角吻合术Key words
Stomach neoplasm/Da Vinci robotic surgical system/Gastrectomy/Gastroduodenostomy/Delta-shaped anastomosis分类
医药卫生引用本文复制引用
严超,冯润华,姚学新,陈明敏,李琛,燕敏,朱正纲,刘文韬,杨中印,倪震天,徐玮,毕任达,郑亚南,华子辰,朱正伦..基于胃十二指肠重叠法三角吻合的全机器人远端胃癌根治术的临床应用(附2例报告)[J].外科理论与实践,2018,23(1):32-36,5.基金项目
上海交通大学医学院基金项目(13XJ10011) （13XJ10011）
