中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2010年
11期
811-813
,共3页
胃肿瘤,近端%胃切除手术%四吻合器技术
胃腫瘤,近耑%胃切除手術%四吻閤器技術
위종류,근단%위절제수술%사문합기기술
Stomach neoplasms,Proximal%Gastrectomy%Quadruple stapling technique
目的 探讨改良四吻合器技术在近端胃癌根治术中应用的可行性和安全性.方法 回顾性分析55例行近端胃癌根治术患者的临床资料,其中28例采用改良四吻合器技术(改良组)、27例采用传统吻合技术(传统组)进行食管残胃间空肠双"S"吻合.结果 两组均无手术死亡病例,病理切缘均阴性.改良组手术时间为(158±31)min,明显短于传统组的(195±42)min(P＜0.05).两组均未出现吻合口狭窄、出血、瘘以及胃瘫、切口感染等早期严重并发症,在术后恢复方面两组差异无统计学意义(P＞0.05).所有患者均获3个月至2年的随访,两组各有2例出现反流性食管炎(P＞0.05);改良组与传统组分别有2例(7.1%)和8例(29.6%)出现残胃空肠吻合口炎(P＜0.05).结论 改良四吻合器技术用于近端胃癌根治术中食管残胃间空肠双"S"吻合安全可行.
目的 探討改良四吻閤器技術在近耑胃癌根治術中應用的可行性和安全性.方法 迴顧性分析55例行近耑胃癌根治術患者的臨床資料,其中28例採用改良四吻閤器技術(改良組)、27例採用傳統吻閤技術(傳統組)進行食管殘胃間空腸雙"S"吻閤.結果 兩組均無手術死亡病例,病理切緣均陰性.改良組手術時間為(158±31)min,明顯短于傳統組的(195±42)min(P＜0.05).兩組均未齣現吻閤口狹窄、齣血、瘺以及胃癱、切口感染等早期嚴重併髮癥,在術後恢複方麵兩組差異無統計學意義(P＞0.05).所有患者均穫3箇月至2年的隨訪,兩組各有2例齣現反流性食管炎(P＞0.05);改良組與傳統組分彆有2例(7.1%)和8例(29.6%)齣現殘胃空腸吻閤口炎(P＜0.05).結論 改良四吻閤器技術用于近耑胃癌根治術中食管殘胃間空腸雙"S"吻閤安全可行.
목적 탐토개량사문합기기술재근단위암근치술중응용적가행성화안전성.방법 회고성분석55례행근단위암근치술환자적림상자료,기중28례채용개량사문합기기술(개량조)、27례채용전통문합기술(전통조)진행식관잔위간공장쌍"S"문합.결과 량조균무수술사망병례,병리절연균음성.개량조수술시간위(158±31)min,명현단우전통조적(195±42)min(P＜0.05).량조균미출현문합구협착、출혈、루이급위탄、절구감염등조기엄중병발증,재술후회복방면량조차이무통계학의의(P＞0.05).소유환자균획3개월지2년적수방,량조각유2례출현반류성식관염(P＞0.05);개량조여전통조분별유2례(7.1%)화8례(29.6%)출현잔위공장문합구염(P＜0.05).결론 개량사문합기기술용우근단위암근치술중식관잔위간공장쌍"S"문합안전가행.
Objective To investigate the feasibility and safety of modified quadruple stapling technique in radical proximal gastrectomy for gastric carcinoma.Methods Medical records of 55 consecutive patients who underwent radical proximal gastrectomy for gastric cancer were analyzed retrospectively.Twenty-eight patients (modified group) undergoing modified quadruple stapling technique were compared to 27 patients (traditional group) who underwent traditional approach during the same period.Results There was no perioperative mortality.All the patients had negative pathological resection margin.The mean operative time in the modified group was significantly shorter than that in the traditional group [(158±31) min vs.(195±42) min,P＜0.05].There were no immediate complications such as stricture,bleeding or leakage at the anastomosis,gastroparesis,and wound infection.Postoperative recovery did not differ between the two groups (P＞0.05).During the followup(range:3 months-2 years),2(7.1%) patients in the modified group and 2(7.4%) in the traditional group developed reflux esophagitis (P＞0.05) and anastomotic inflammation occurred in 2 cases (7.1%)for the modified group and 8(29.6%) for the traditional group(P＜0.05).Conclusion Modified quadruple stapling technique is a feasible and safe method in radical proximal gastrectomy.
