兰州大学学报（医学版）2024，Vol.50Issue(3)：49-55,7.DOI:10.13885/j.issn.1000-2812.2024.03.008
改良捆绑式反穿刺法食管空肠吻合术在腹腔镜根治性全胃切除术中的应用研究
Application of modified bundled reverse puncture esophagojeju-nostomy in laparoscopic radical total gastrectomy
摘要
Abstract
Objective To investigate the clinical value of modified bundled reverse puncture esophagojeju-nostomy in laparoscopic radical total gastrectomy.Methods A total of 182 patients underwent laparoscopic radical total gastrectomy using the modified bundled reverse puncture method for esophagojejunostomy.The jejunum and stapler were securely fastened with a self-made rubber band sequipped with traction lines,while the end-to-side anastomosis of the esophagus was performed using the conventional reverse puncture method to accomplish the esophagojejunostomy.The clinical indicators were subsequently observed.Results All 182 cases were successfully completed with no intermediate openings.Operation time(196.2±22.4)min;incision length(3.89±1.23)cm;length of proximal esophagus(3.78±0.56)cm;nailseat placement time(9.20±2.40)min;intraoperative bleeding volume(56.20±22.40)mL.There were 3 cases of postoperative anastomotic leakage,3 cases of anastomotic bleeding,2 cases of incisional infection,and 5 cases of anastomotic stenosis;182 cases were followed up for 8 to 36 months,with an average of 20.6 months,with 2 cases having had anas-tomotic recurrence.Conclusion The modified bundled reverse puncture anastomosis technique demonstrates notable safety and feasibility in laparoscopic radical total gastrectomy,with significant clinical efficacy,there-by warranting its widespread adoption inclinical practice.关键词
胃癌/改良捆绑式反穿刺法/食管-空肠吻合/腹腔镜/根治性全胃切除术Key words
gastric cancer/bindled reverse puncture/esophagus-jejunal anastomosis/laparoscopy/radical total gastrectomy分类
临床医学引用本文复制引用
李胜,杨文光,张仲良,何玉奇..改良捆绑式反穿刺法食管空肠吻合术在腹腔镜根治性全胃切除术中的应用研究[J].兰州大学学报（医学版）,2024,50(3):49-55,7.基金项目
甘肃省科技厅民生科技专项-社会发展专题资助项目(21CX6NC228) （21CX6NC228）
