中国实用外科杂志

中国实用外科杂志

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胃癌行全腹腔镜全胃切除术食管空肠手工缝合9例分析

戴发祥1，2，玄    一1，喻盛佳1，龙子雯1，靳洁洁1，黄    华1   

  1. 1复旦大学附属肿瘤医院胃及软组织外科  复旦大学上海医学院肿瘤学系，上海200032；2南通大学附属医院普外科，江苏南通225003
  • 出版日期:2016-09-01 发布日期:2016-08-24

  • Online:2016-09-01 Published:2016-08-24

摘要：

目的    探讨全腹腔镜全胃切除术（TLTG）食管空肠手工缝合的可行性及安全性。方法    回顾性分析复旦大学附属肿瘤医院2015年1-12月期间收治的9例接受TLTG食管空肠手工缝合的病人临床资料。结果    其中8例缝合成功，1例缝合失败改为辅助小切口圆形吻合器吻合。9例均顺利完成手术，手术时间（209.9±25.0）min，其中吻合时间（51.9±8.4）min，术中出血量（59.7±12.6）mL，术后排气时间（3.8±1.2）d，术后住院（8.9±1.5）d，术后恢复良好，无并严重发症出现。结论    TLTG食管空肠手工缝合安全可行。

关键词: 全腹腔镜全胃切除术, 消化道重建, 手工缝合

Abstract:

Totally laparoscopic total gastrectomy for gastric cancer with intracorporeal hand-sewn esophagojejunostomy：An analysis of 9 cases        DAI Fa-xiang*，XUAN YI，YU Sheng-jia，et al. *Department of Gastric Cancer and Soft Tissue Sarcoma，Shanghai Cancer Center，Fudan University；Department of Oncology，Shanghai Medical College，Fudan University，Shanghai200032，China
Corresponding author：HUANG Hua，E-mail：huahuang@fudan.edu.cn
Abstract    Objective    To investigate the feasibility and safety of totally laparoscopic total gastrectomy (TLTG) with esophagojejunostomy intracorporeal hand-sewn reconstruction. Methods    The clinical data of 9 cases underwent TLTG with esophagojejunostomy intracorporeal hand-sewn reconstruction between January 2015 and December 2015 in Shanghai Cancer Center，Fudan University was analyzed retrospectively. Results    A total of 8 cases of suture succeeded while 1 case failed. The operation time was (209.9 ± 25.0) min. The anastomosis time was (51.9 ± 8.4) min. The amount of bleeding during surgery was (59.7 ± 12.6) mL. The first flatus time was (3.8 ± 1.2) d. The postoperative hospital stay was (8.9 ± 1.5) d. The postoperation recovered well without serious complications. Conclusion    TLTG with esophagojejunostomy intracorporeal hand-sewn reconstruction is safe and feasible.

Key words: total laparoscopy total gastrectomy, digestive tract reconstruction, hand-sewn