中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2010年
4期
299-302
,共4页
钱锋%唐波%余佩武%郝迎学%兰远志%石彦%赵永亮%罗华星
錢鋒%唐波%餘珮武%郝迎學%蘭遠誌%石彥%趙永亮%囉華星
전봉%당파%여패무%학영학%란원지%석언%조영량%라화성
胃肿瘤%腹腔镜检查%手术路径
胃腫瘤%腹腔鏡檢查%手術路徑
위종류%복강경검사%수술로경
Gastric neoplasms%Laparoscopy%Operation path
The operation path, lymph node dissection and reconstruction of the alimentary tract are the three most technical difficulties of laparoscopy-assisted gastrectomy. The essential difference between laparoscopy-assisted gastrectomy and open gastrectomy is the operation path. Based on our clinical experience, we investigated reasonable paths for laparoscopyassisted gastrectomy. Patients were placed in a supine position with their legs apart, and the operator stood on the left side of the patient. Five trocars were placed in the abdominal wall in a curved line. The operation was carried out in the order of greater gastric curvature, the lower region of the pylorus and antrum,the upper region of the pancreas, omentum minus, cardia, and arcuate diaphragm. From May 2004 to April 2010, we successfully carried out 761 laparoscopy-assisted gastrectomies with satisfactory outcomes.
