在腹腔镜全胃切除术中使用手工食道结合器
Hao Gu1, Weixiang Li2, Lianbang Zhou3
1Department of General Surgery, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China. 19942517551@163.com.
World journal of surgical oncology
|March 4, 2024
概括
在腹腔镜全胃切除术 (LTG) 中,手工合的解剖切除显示出与合剂方法相比,类似的临床疗效和并发症率. 这种技术为胃癌患者提供了诸如缩短手术时间,更小的切口和降低成本等好处.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 胃肠道手术 胃肠道手术
背景情况:
- 腹腔镜全胃切除术 (LTG) 是胃癌的关键手术.
- 解剖解剖技术对于LTG的结果至关重要.
- 比较手工与接器解剖是重要的手术决策.
研究的目的:
- 为了评估手工合解的临床疗效在LTG.
- 评估手工合解剖成形在LTG的预后影响.
- 为了比较手工合的解与LTG中的圆形合器解.
主要方法:
- 对112名经过LTG.的胃癌患者进行了回顾性分析.
- 患者被分为手工合解剖体 (n=60) 和圆形接器解剖体 (n=52) 组.
- 两组之间的临床疗效和预后因素的比较.
主要成果:
- 在手术内出血,第一次浮的时间,住院时间或并发症方面没有显著差异.
- 手动组显示出较短的解和手术持续时间 (20比35分,252.6比265.9分).
- 手工组的切口较小 (5.0比10.5厘米),成本较低 (58415.0比63382.5元人民币).
结论:
- 手工的食道结节术在临床上相当于LTG中的圆形接器解剖.
- 手解剖手术具有优势:手术时间缩短,切口更小,成本更低.
- 手工合的解剖形成表明,LTG.的瘤位置具有更广泛的适应性.
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