中国实用外科杂志2024，Vol.44Issue(1)：111-114,4.DOI:10.19538/j.cjps.issn1005-2208.2024.01.18
肝左外叶翻转法用于腹腔镜胃癌根治术10例分析
Hepatic left lateral segment inversion for laparoscopic radical gastrectomy:a report of ten patients
摘要
Abstract
Objective This study aimed to investigate the safety and clinical value of hepatic left lateral segment inversion(HLLSI)technique for laparoscopic radical gastrectomy(LRG).Methods We retrospectively analyzed the clinical data of ten consecutive patients with gastric cancer or adenocarcinoma of esophagogastric junction who underwent HLLSI for LRG from September to October,2023 at Department of Gastrointestinal Surgery,Second Affiliated Hospital of Soochow University.HLLSI was used to expose the surgical field in all patients while short-term outcomes were observed.Results HLLSI was successfully performed in all patients with a mean operating time of 13.7±3.5 min.There was no need for intraoperative re-retraction or change in retraction methods,no esophageal hiatus occlusion,no need for forceps to assist exposure,and no hepatic hemorrhage,hepatic congestion,or hepatic vein injury.Postoperative length of stay was 10.5(10-14)d.No digestive complications of Clavien-Dindo grade ≥Ⅱ occurred within 30 days after surgery,while only two patients had pleural effusion.Alanine aminotransferase and glutamine aminotransferase peaked at postoperative day one in some patients,but fell back significantly at postoperative day three,and returned to the preoperative level at postoperative day seven.Conclusion HLLSI technique was satisfactory for LRG in terms of field visualization,and has advantages in facilitating surgical operation,reducing surgical trauma,protecting the liver,and lowering the surgical cost.关键词
肝脏牵引/食管胃结合部腺癌/腹腔镜/胃癌根治术/手术并发症Key words
liver retraction/adenocarcinoma of esophagogastric junction/laparoscopy/radical gastrectomy/surgical complications分类
医药卫生引用本文复制引用
颜上程,陈任维,彭巍,程明,任睿,盛梦超,刘天华,陈强,吴永友..肝左外叶翻转法用于腹腔镜胃癌根治术10例分析[J].中国实用外科杂志,2024,44(1):111-114,4.基金项目
苏州市临床医学专家团队引进项目(No.SZYJTD201804) （No.SZYJTD201804）
苏州市临床重点病种诊疗技术专项(No.LCZX202310) （No.LCZX202310）
苏州大学第二医院医疗新技术专项助力计划项目(No.23ZL002) （No.23ZL002）
