两口远距离胃切除术期间的体内修饰型三角形胃口口术:技术方面和短期结果
Sejin Lee1, Jeong Ho Song2, Sung Hyun Park3,4
1Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Korea.
Annals of surgical treatment and research
|September 11, 2023
概括
这项研究引入了一种新的体内三角形胃口腺切除术技术,用于减少端口远端胃切除术. 这种方法被证明是安全有效的,在30名胃癌患者中没有重大并发症.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 减少端口胃切除术的目的是尽量减少外科创伤,同时确保瘤安全.
- 胃管腺切除术为营养结果提供了好处,并减少了并发症,但在减少端口远端胃切除术中存在技术挑战.
研究的目的:
- 描述一个易于应用的体内修饰的三角形形胃口腺切除术技术,用于两端口远端胃切除术.
- 评估这种新的重建方法的安全性和有效性.
主要方法:
- 对30名胃癌患者的回顾性审查,这些患者使用所述的技术进行了2端口远端胃切除术.
- 使用了25毫米的穿口和12毫米的右侧口.
- 采用一个60毫米的内线合器与三个额外的 sutures.
主要成果:
- 平均手术时间为148.9分钟,重建时间为13.2分钟,估计血液损失为29.3毫升.
- 平均住院时间为4.5天.
- 11名患者 (36.7%) 经历了轻微并发症 (Clavien-Dindo I或II级);没有发生重大并发症.
结论:
- 通过两端口的方法,体内修饰的三角形形胃口门术是安全可行的.
- 这种技术产生了可接受的外科结果,并避免了远端胃切除术的重大并发症.
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