中国现代手术学杂志2025，Vol.29Issue(3)：178-182,5.DOI:10.16260/j.cnki.1009-2188.2025.03.002
自牵引后离断三角吻合在全腹腔镜远端胃癌根治术Billroth Ⅰ式消化道重建中的应用
The application of self-pulling and latter transection followed by delta-shaped anastomosis in total laparoscopic Billroth Ⅰ gastrectomy for distal gastric cancer
张杰 1余盼 2董晨花 1陈宁 1姚丹 1王明考 1赵海剑1
作者信息
- 1. 徐州医科大学附属淮安医院胃肠外科,江苏淮安 223001
- 2. 徐州医科大学附属淮安医院疼痛科,江苏淮安 223001
- 折叠
摘要
Abstract
Objective To investigate the application value of Billroth Ⅰ digestive tract reconstruction by self-pulling and latter transection followed by delta-shaped anastomosis in total laparoscopic distal gastrectomy.Methods Retrospective analysis was performed on the clinical data of patients who underwent total laparoscop-ic distal gastrectomy and Billroth Ⅰ digstive tract reconstruction at Huai'an Hospital of Xuzhou Medical Univer-sity from June 2021 to June 2024.The delta-shaped anastomosis group consisted of 25 patients and Overlap group had 35 patients.A comparison was made between the two groups in terms of intraoperative and postopera-tive efficacy indexes.Results The laparoscopic surgery was successfully completed in both groups without conversion to open surgery.In comparison to Overlap group,the delta-shaped anastomosis group exhibited sig-nificantly shorter operation time,digestive tract anastomosis time,and postoperative first flatus time(P＜0.05).There was no significant difference between the two groups in terms of intraoperative blood loss,time to oral intake,lymph node dissection number,postoperative hospital stay,and complication rates(P＞0.05).Conclusions It can be concluded that total laparoscopic distal gastrectomy with self-pulling and latter transec-tion followed by delta-shaped anastomosis is a safe and effective surgical technique for reconnecting the digestive tract.This approach can simplify the procedure,reduce intraoperative anastomosis time,and facilitate early postoperative rehabilitation for patients.关键词
胃肿瘤/自牵引后离断/三角吻合术/Overlap吻合术/消化道重建Key words
gastric neoplasms/self-pulling and latter transection/delta-shaped anastomosis/Overlap anastomosis/digestive tract reconstruction引用本文复制引用
张杰,余盼,董晨花,陈宁,姚丹,王明考,赵海剑..自牵引后离断三角吻合在全腹腔镜远端胃癌根治术Billroth Ⅰ式消化道重建中的应用[J].中国现代手术学杂志,2025,29(3):178-182,5.
