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MACHINE-ASSISTED METHOD FOR GASTROJEJUNOPLASTY FOLLOWING SUBTOTAL RESECTION FOR ACUTE BLEEDING GASTRIC CANCER

机译:急性流血性胃癌小肠切除后胃粘膜成形术的机器辅助方法

摘要

The machine-assisted method for gastrojejunoplasty following the subtotal resection for acute bleeding gastric cancer includes the distal subtotal resection of the stomach and gastrojejunoplasty. After the distal subtotal resection of the stomach, the proximal margin of dissection in stomach is generated throughout the gastric lumen up to esophagus with the aid of Proximat-100 apparatus. The purse-string suture is applied onto the distal stump of the stomach near the greater curvature. The segment of jejunum with the vascular arcade is tailored and its proximal part is sutured in two-barrel mode with Proximat-100 apparatus. The anastomosis between the proximal end of the cross-linked segment of jejunum and the stump of the stomach is fashioned with the aid of the circular stapler Ethicon 29 mm. The distal end of the segment of the small intestine is sutured with duodenum with the aid of the circular stapler Ethicon 25 mm. The opening in the segment of jejunum is sutured. The continuity of the jejunum is restored with circular staplers Ethicon 21 mm via the transverse enterotomy of the efferent limb. Finally, enterotomy is sewed with two-row suture.
机译:急性出血性胃癌大肠切除后的胃空肠成形术的机器辅助方法包括远端胃大部切除和胃空肠成形术。胃远端次全切除后,借助Proximat-100仪器可在整个胃腔直至食道内产生胃近端解剖。荷包缝合线在较大曲率附近贴在胃的远端残端上。量身定制具有血管拱廊的空肠段,并用Proximat-100装置将其近端部分缝合成两管式。空肠交联段的近端与胃残端之间的吻合是借助圆形缝合器Ethicon 29 mm进行的。小肠段的远端在圆形缝合器Ethicon 25 mm的帮助下用十二指肠缝合。空肠段的开口被缝合。空肠的连续性通过圆形吻合器Ethicon 21 mm通过传出肢体的横向肠切开术得以恢复。最后,用两排缝合线缝合肠切开术。

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