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首页> 外文期刊>Diagnostic and therapeutic endoscopy >Surgeon at Work: Hand-Assisted Laparoscopic Construction of Gastric Conduit for Thoracic Esophageal Cancer
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Surgeon at Work: Hand-Assisted Laparoscopic Construction of Gastric Conduit for Thoracic Esophageal Cancer

机译：外科医生在工作：手工腹腔镜胃导管治疗胸腔食管癌

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摘要

A method for hand-assisted laparoscopic construction of gastric conduit for thoracicesophageal cancer was developed. Since this endoscopic surgical procedure is less invasivethan open surgery, it contributes to improvement of post-operative respiratory functionsand reduces respiratory complications. What distinguishes our surgical procedure is thatunlike methods described in previous reports, it begins with treatment of the left gastroepiploicvessels at the height of the inferior edge of the spleen, followed by dissection fromthe esophageal hiatus to the lesser curvature and then dissection and excision of left gastricarteries and veins. Finally, the exposed esophagus and stomach are drawn outside the bodyand the right gastroepiploic blood vessels are preserved, followed by dissection of thegreater omentum. This approach to gastric conduit construction was undertaken in 6patients and the mean operating time was 123 minutes. Although in the first 3 of thesepatients the operating time was 150 minutes or more, the time required shortened to around90 minutes for each of the last 3 cases, as the procedure was mastered. In each case, thevolume of intraoperative hemorrhage did not exceed 50 ml.
机译：提出了一种手动辅助腹腔镜治疗胸段食管癌胃导管的方法。由于这种内窥镜外科手术的侵入性比开放手术低，因此有助于改善术后呼吸功能并减少呼吸并发症。与我们以前的报告所述的方法不同，我们的手术程序的区别在于它首先在脾下边缘高度处治疗左胃上皮血管，然后从食管裂孔至小曲度进行解剖，然后解剖并切除左胃动脉和静脉。最后，将裸露的食道和胃抽出体外，并保留右胃表皮血管，然后解剖大网膜。该方法在6位患者中进行了胃导管构建，平均手术时间为123分钟。尽管在这些患者中的前3名患者的手术时间为150分钟或更长，但由于熟练掌握了该程序，对于后3名患者中的每名患者，所需时间都缩短至90分钟左右。在每种情况下，术中出血量均不超过50 ml。

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