CAJ | 학술논문

回顾性分析10例全腹腔镜远端胃癌根治切除、残胃十二指肠三角吻合病例的临床资料。10例患者均成功实施了全腹腔镜远端胃癌根治切除(D2)、残胃十二指肠三角吻合,手术时间(173±32) min；三角吻合操作时间(25±11) min；术中出血(95±36) ml；淋巴结清扫数目(25±13)枚/例；肿瘤距上切缘(6.5±1.8)cm、距下切缘(4.5±1.6)cm,术后病理结果未见切缘癌残留。首次下床活动时间(1.7±0.6) d,肛门排气时间(3.4±1.6) d,进流质饮食时间(4.0±1.5) d,术后住院时间(7.0±1.0) d。全组未出现呼吸道感染、肠梗阻、吻合口出血、吻合口狭窄、吻合口瘘等并发症。残胃十二指肠三角吻合技术操作安全简便,在全腹腔镜远端胃癌根治术中能提供良好的腹腔内胃十二指肠吻合效果。
회고성분석10례전복강경원단위암근치절제、잔위십이지장삼각문합병례적림상자료。10례환자균성공실시료전복강경원단위암근치절제(D2)、잔위십이지장삼각문합,수술시간(173±32) min；삼각문합조작시간(25±11) min；술중출혈(95±36) ml；림파결청소수목(25±13)매/례；종류거상절연(6.5±1.8)cm、거하절연(4.5±1.6)cm,술후병리결과미견절연암잔류。수차하상활동시간(1.7±0.6) d,항문배기시간(3.4±1.6) d,진류질음식시간(4.0±1.5) d,술후주원시간(7.0±1.0) d。전조미출현호흡도감염、장경조、문합구출혈、문합구협착、문합구루등병발증。잔위십이지장삼각문합기술조작안전간편,재전복강경원단위암근치술중능제공량호적복강내위십이지장문합효과。
The clinical data of 10 patients undergoing totally laparoscopic gastrectomy with residual stomach and duodenum delta-shaped anastomosis were retrospectively analyzed. Totally laparoscopic distal gastrectomy with delta-shaped anastomosis was performed successfully in all patients. The operation time was(173 ±32) min and the blood loss was (95±36) ml. The time of delta-shaped anastomosis was(25±11)min. The mean number of har-vested lymph nodes was (25±13). The distance from proximal surgical margin to tumor was(6. 5±1. 8)cm and the distance from distal surgical margin to tumor was (4.5±1.6)cm, these surgical margins were negative in all samples. The time of gastrointestinal function recovery was(3.4±1.6)d, out of bed activity time was(1.7±0.6) d. The hospital stay was (7.0±1.0)d. There was no case of respiratory infections, intestinal obstruction, anastomot-ic bleeding, anastomotic stricture, anastomotic leakage and other complications. Delta shaped anastomosis is a safe and easy method which can provide a good digestive tract reconstruction in totally laparoscopic distal gastrectomy.