CAJ | 학술논문

目的探讨完全腹腔镜下腹腔内直线切割吻合器行胃十二指肠吻合术的安全性与可行性.方法回顾性分析浙江省丽水市中心医院胃肠外科2012年6月至2013年6月间17例完全腹腔镜下胃癌根治术,使用腹腔内直线型切割吻合器行胃十二指肠吻合术胃癌患者的临床资料.结果本组17例平均手术时间是(2.6±0.4)h,除1例中转开腹,其余均在完全腹腔镜下完成手术,术后无严重并发症和死亡病例,术后疼痛评估好于腹腔镜辅助手术. 结论在完全腹腔镜下胃癌根治术时,使用腹腔内直线型切割吻合器行胃十二指肠吻合术这种新的吻合方式是安全可行的.
목적 탐토완전복강경하복강내직선절할문합기행위십이지장문합술적안전성여가행성.방법 회고성분석절강성려수시중심의원위장외과2012년6월지2013년6월간17례완전복강경하위암근치술,사용복강내직선형절할문합기행위십이지장문합술위암환자적림상자료.결과 본조17례평균수술시간시(2.6±0.4)h,제1례중전개복,기여균재완전복강경하완성수술,술후무엄중병발증화사망병례,술후동통평고호우복강경보조수술. 결론 재완전복강경하위암근치술시,사용복강내직선형절할문합기행위십이지장문합술저충신적문합방식시안전가행적.
Objective To evaluate the safety and feasibility of totally laparoscopic radical distal gastrectomy (TLDG)and intracorporeal gastroduodenostomy using laparoscopic linear staplers in gastric cancer patients.Methods Clinical data were reviewed on the perioperative outcomes of 17 gastric cancer patients who received totally laparoscopic distal gastrectomy and intracorporeal gastroduodenostomy using endoscopic linear staplers from June 2012 to June 2013 at Department of General Surgery,Lishui Central Hospital.Results The mean operation time were (2.6 ± 0.4) h,TLDG with deltashaped anastomosis was successfully carried out in all the patients except for 1 case who was converted to open surgery.There was no serious complication and no death in this series.The postoperative pain in TLDG was less than laparoscopy assisted distal gastrectomy.Conclusions Totally laparoscopic distal gastrectomy and intracorporeal gastroduodenostomy using endoscopic linear staplers is a new method with high safety and feasibility.