• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopically assisted total gastrectomy with jejunal pouch interposition.
【24h】

Laparoscopically assisted total gastrectomy with jejunal pouch interposition.

机译：腹腔镜辅助全胃切除术并插入空肠囊。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Jejunal pouch interposition (JPI) is known as a useful gastric replacement procedure after total gastrectomy. The JPI procedure, however, has not been applicable to laparoscopically assisted total gastrectomy (LATG) because of its technical complexity and difficulty. This study aimed to describe our modified LATG/JPI technique, and to evaluate its feasibility, safety, and early postoperative functional outcome. METHODS: Between September 2002 and August 2003, LATG/JPI was attempted for five patients (3 men and 2 women) with early gastric cancers in the upper portion of the stomach. The mean age of the patients was 57 years, and their BMI was 21 kg/m2. Using a 5-port technique, the gastric arteries were laparoscopically clipped and divided with adequate lymphatic dissection. After completion of gastric resection, the anvil of a circular stapling device was placed in the esophageal stump. An 8-cm minilaparotomy then was performed, and the 12-cm pouch was created extracorporeally in the "reverse U" fashion. The stapled pouch-esophagostomy was performed under laparoscopic monitoring. The remainder of the procedure was accomplished under direct vision. RESULTS: All cases were managed laparoscopically without any complications. The mean operating time was 407 min, and the blood loss was 279 ml. All the patients showed rapid and uneventful recovery. Postoperative studies, including dual scintigraphy, showed that all jejunal pouches were satisfactorily functioning. CONCLUSIONS: This study showed LATG/JPI to be feasible and safe. With technical modifications, LATG/JPI can become a potentially effective option for improving patients' quality of life after total gastrectomy.
机译：背景：空肠袋置入术（JPI）被称为全胃切除术后有用的胃置换手术。但是，JPI手术由于其技术复杂性和难度而不适用于腹腔镜辅助全胃切除术（LATG）。这项研究旨在描述我们改良的LATG / JPI技术，并评估其可行性，安全性和术后早期功能结局。方法：在2002年9月至2003年8月之间，尝试对5例胃上部上部早期胃癌患者（3例男性和2例女性）进行LATG / JPI治疗。患者的平均年龄为57岁，其BMI为21 kg / m2。使用5端口技术，腹腔镜下切除胃动脉，并进行充分的淋巴清扫术。胃切除完成后，将圆形吻合器的砧座放置在食管残端中。然后进行8厘米的小切口开腹术，并以“反向U”方式体外制作12厘米的小袋。在腹腔镜监测下进行吻合钉袋食管造口术。该过程的其余部分是在直视下完成的。结果：所有病例均经腹腔镜处理，无任何并发症。平均手术时间为407分钟，失血量为279毫升。所有患者均显示出快速，平稳的康复。包括双闪烁显像在内的术后研究表明，所有空肠囊的功能均令人满意。结论：这项研究表明LATG / JPI是可行和安全的。通过技术修改，LATG / JPI可以成为改善全胃切除术后患者生活质量的潜在有效选择。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号