中国实用外科杂志

中国实用外科杂志

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全腹腔镜远端胃癌根治术中基于V-Loc缝线改良非离断式Roux-en-Y重建7例报告

薛    侃，李子禹，陕    飞，王胤奎，季加孚   

  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心  恶性肿瘤发病机制及转化研究教育部重点实验室，北京100142
  • 出版日期:2015-10-01 发布日期:2015-10-09

  • Online:2015-10-01 Published:2015-10-09

摘要：

目的    探讨基于V-Loc缝线改良非离断式Roux-en-Y重建术在全腹腔镜远端胃癌根治术中应用的安全性和可行性。方法    回顾性分析北京大学肿瘤医院胃肠肿瘤中心2014年10月至2015年1月对7例胃癌病人行全腹腔镜远端胃癌根治术后，实施基于V-Loc缝线改良的非离断式Roux-en-Y重建术的术中及术后资料。结果 7例病人均成功实施全腹腔镜远端胃癌根治术及基于V-Loc改良的非离断式Roux-en-Y重建术，无一例中转开放或腹腔镜辅助手术。手术时间（212.6±20.8）min，重建时间（51.6±5.3）min，中位出血量30 mL。术后排气时间（3.1±0.9）d，术后中位住院时间为9d。1例病人术后出现胃瘫，经保守治疗后恢复，未见无其他并发症。结论    在全腹腔镜远端胃癌根治术中应用基于V-Loc改良的非离断式Roux-en-Y重建术是安全、可行的。

关键词: 远端胃癌根治术, 非离断Roux-en-Y重建术, 腹腔镜

Abstract:

V-Loc based uncut Roux-en-Y reconstruction in totally laparoscopic distal gastrectomy：A report of 7 patients         XUE Kan，LI Zi-yu, SHAN Fei, et al. Center of Gastrointestinal Tumors, Peking University Cancer Hospital & Institute; Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Beijing 100142, China
Corresponding author: LI Zi-yu, E-mail:ligregory@outlook.com
Abstract    Objective    To explore the safety and feasibility of V-Loc based uncut Roux-en-Y reconstruction in totally laparoscopic distal gastrectomy. Methods    The clinical data of 7 patients performed laparoscopic distal gastrectomy and intracorporeal V-Loc based uncut Roux-en-Y reconstruction from October 2014 to January 2015 in Center of Gastrointestinal Tumors of Peking University Cancer Hospital were analyzed retrospectively. Results    Totally laparoscopic distal gastrectomy and V-Loc based uncut Roux-en-Y reconstruction were successfully performed in all 7 patients, and none transferred to open or laparoscopy-assisted operation. The mean operation time, reconstruction time and the median blood loss was (212.6±20.8) min, (51.6±5.3) min and 30 mL respectively. The first time to flatus and the median hospital stay after operation was (3.1±0.9) days and 9 days respectively. One patient suffered gastroparesis and was cured conservatively, except for whom no complication was observed. Conclusion    V-Loc based uncut Roux-en-Y reconstruction is safe and feasible in totally laparoscopic distal gastrectomy.

Key words: distal gastrectomy, uncut Roux-en-Y reconstruction, laparoscopy