CAJ | 학술논문

目的：观察腹腔镜下远端胃癌根治术中三角吻合术的可行性、安全性。方法回顾性分析9例采用腹腔镜下远端胃癌根治（D2）＋三角吻合术患者的临床资料。结果9例患者均顺利完成手术，手术时间（178±43）min，三角吻合时间（32±8）min。术后病理检查远、近切缘均阴性，淋巴结清扫数目（27±8）枚／例。术后肠道功能恢复时间（3．8±1．7）d，进食流质时间（3．9±1．8）d。术后1例患者出现脐部切口脂肪液化，1例出现尿路感染，无吻合口瘘、吻合口出血、吻合口狭窄等并发症发生。结论三角吻合术安全、操作方便，是进行腹腔镜远端胃切除术术后重建的可靠的吻合方式。
목적：관찰복강경하원단위암근치술중삼각문합술적가행성、안전성。방법회고성분석9례채용복강경하원단위암근치（D2）＋삼각문합술환자적림상자료。결과9례환자균순리완성수술，수술시간（178±43）min，삼각문합시간（32±8）min。술후병리검사원、근절연균음성，림파결청소수목（27±8）매／례。술후장도공능회복시간（3．8±1．7）d，진식류질시간（3．9±1．8）d。술후1례환자출현제부절구지방액화，1례출현뇨로감염，무문합구루、문합구출혈、문합구협착등병발증발생。결론삼각문합술안전、조작방편，시진행복강경원단위절제술술후중건적가고적문합방식。
Objective To observe the technical feasibility and safety of delta -shaped (DS)anastomosis in totally laparoscopic distal gastrectomy (TLDG).Methods A retrospective analysis of 9 cases underwent TLDG with D2 lymphadenectomy and DS anastomosis.Results All the patients underwent TLDG with D2 lymphadenectomy and DS anastomosis successfully by the same doctor and his team.The total operative time was (178 ±43)minutes,and the DS anastomosis time was (32 ±8)minutes.All the patients achieved microscopic cancer -free margin and the number of lymph nodes harvested was (27 ±8)per patient.The average time to flatus,time to fluid diet were (3.8 ± 1.7)days and (3.9 ±1.8)days respectivly.One patient developed to fat liquefaction of incision,and one developed to urinary tract infection after the operation.No anastomotic bleeding,anastomotic leakage,anastomotic stenosis or other anastomotic complications happened among all patients.Conclusion DS anastomosis is safe and convenient.It is an ideal choice for reconstruction in TLDG with D2 lymphadenectomy.