腹腔镜功能性单通道襻式间置空肠吻合术

Laparoscopic functional single loop type jejunum interposition

  • 摘要: 腹腔镜功能性单通道襻式间置空肠吻合术在食管胃结合部腺癌根治术中应用安全、可行,同时具有显著的预防反流性食管炎及倾倒综合征的作用。2011年1月至2013年1月兰州军区兰州总医院收治了12例食管胃结合部腺癌患者,实施腹腔镜功能性单通道襻式间置空肠吻合术。患者无手术死亡,吻合口出血1例,经保守治疗后痊愈。随访6个月,患者无吻合口瘘及吻合口狭窄、明显胆汁和食物反流、营养不良及倾倒综合征,术后生命质量显著提高。

     

    Abstract: Laparoscopic functional single loop type jejunum interposition for the radical resection of cancers at the esophagogastric junction or the fundus of the stomach is safe, feasible and can prevent reflux esophagitis and dumping syndrome. From January 2011 to January 2013, 12 gastric cancer patients received laparoscopic functional single loop type jejunum interposition at the General Hospital of Lanzhou Military Region. No patient died perioperatively. There was 1 patient complicated with anastomotic bleeding and was cured by conservative treatment. All the patients were followed up for 6 months, no anastomotic fistula, stricture, bile or food reflux, malnutrition or dumping syndrome was detected, and satisfactory postoperative results was achieved.

     

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