半截自拉食管空肠吻合术在腹腔镜胃癌全胃切除术中的应用:一种安全可行的技术。

IF 2.7 4区 医学 Q2 Medicine Canadian Journal of Gastroenterology and Hepatology Pub Date : 2022-06-13 eCollection Date: 2022-01-01 DOI:10.1155/2022/2422274
Hongtao Wan, Jianyong Xiong, Yanglin Chen, Haiyun Wei, Ren Tang, Chao Chen, Qing Sun, Jing Xu, Bo Yi
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引用次数: 1

摘要

目的:介绍一种半截自拉食管空肠吻合术(HTSP),并评价该技术在全腹腔镜全胃切除术(TLTG)中的安全性、可行性及临床效果。材料与方法:选取2019年5月至2021年3月在江西省肿瘤医院腹部肿瘤外科行HTSP- tltg手术的患者42例(HTSP组)作为研究对象。对照组于2018年3月至2020年3月由同一手术团队进行常规TLTG手术(常规吻合组)的患者50例。回顾性分析比较两组患者的临床资料。结果:HTSP-TLTG手术平均手术时间为166.7±13.1分钟,吻合时间为20.8±2.0分钟,明显短于传统TLTG (P < 0.05)。两组在出血量、首次排气时间、术后住院时间和手术相关并发症发生率方面无显著差异。结论:HTSP是一种安全可行的内镜下食管空肠吻合方式,对内镜下缝合技术要求相对较低,适合推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Application of Half-Transected and Self-Pulling Esophagojejunostomy in Total Laparoscopic Gastrectomy for Gastric Cancer: A Safe and Feasible Technique.

Objective: This study introduces a technique for esophagojejunostomy with half transected and self-pulling (HTSP) and evaluates the safety, feasibility, and clinical results of this technique in totally laparoscopic total gastrectomy (TLTG).

Materials and methods: From May 2019 to March 2021, 42 patients (HTSP group) who underwent HTSP-TLTG surgery in the Department of Abdominal Tumor Surgery of Jiangxi Cancer Hospital were included in this study. The control group consisted of 50 patients undergoing conventional TLTG surgery (conventional anastomosis group) performed by the same surgical team from March 2018 to March 2020. The clinical data of the two groups were retrospectively analyzed and compared.

Results: The mean operation time of the HTSP-TLTG surgery was 166.7 ± 13.1 minutes and the anastomosis time was 20.8 ± 2.0 minutes, which were significantly shorter than those of traditional TLTG (P < 0.05). There were no significant differences between the two groups in blood loss, time to first exhaust, postoperative hospital stay, and incidence of surgery-related complications.

Conclusion: HTSP is a safe and feasible way of endoscopic esophagojejunal anastomosis, which requires a relatively low suture technique under endoscopy, and is suitable for promotion.

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来源期刊
CiteScore
4.80
自引率
0.00%
发文量
0
审稿时长
37 weeks
期刊介绍: Canadian Journal of Gastroenterology and Hepatology is a peer-reviewed, open access journal that publishes original research articles, review articles, and clinical studies in all areas of gastroenterology and liver disease - medicine and surgery. The Canadian Journal of Gastroenterology and Hepatology is sponsored by the Canadian Association of Gastroenterology and the Canadian Association for the Study of the Liver.
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