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镍钛合金加压吻合技术应用于腹腔镜胃肠吻合的临床研究
引用本文:李心翔,郑成竹,印慨,蔡景理. 镍钛合金加压吻合技术应用于腹腔镜胃肠吻合的临床研究[J]. 中华胃肠外科杂志, 2008, 11(3): 228-230
作者姓名:李心翔  郑成竹  印慨  蔡景理
作者单位:[1]第二军医大学长海医院微创外科,上海200433; [2]美国Cleveland Clinic Florida微创中心,上海200433;
摘    要:
目的评价一种新型的腹腔镜镍钛记忆合金加压吻合夹(LapCAC)进行胃肠吻合的安全性及有效性。方法2007年3月,对l例行全胃切除术和2例行远端胃大部切除术的胃癌患者,使用LapCAC进行Roux-en-Y空肠-空肠侧侧吻合和胃肠吻合;术后观察有无发生与胃肠吻合相关的并发症,并观察肠道恢复排气时间及LapCAC的排出时间。结果患者术后均未出现与吻合相关的吻合口瘘、吻合口狭窄及肠梗阻等并发症,术后肠道排气、排便均无异常。LapCAC均于术后12~18d排出体外。结论应用LapCAC进行腹腔镜胃肠吻合安全、可靠。

关 键 词:胃肿瘤  胃肠吻合术  腹腔镜加压吻合夹

Application of laparoscopic compression anastomosis clip for laparoscopic gastrointestinal anastomosis]
LI Xin-xiang,ZHENG Cheng-zhu,YIN kai,CAl Jing-li,Rosenthal Raul J. Application of laparoscopic compression anastomosis clip for laparoscopic gastrointestinal anastomosis][J]. Chinese journal of gastrointestinal surgery, 2008, 11(3): 228-230
Authors:LI Xin-xiang  ZHENG Cheng-zhu  YIN kai  CAl Jing-li  Rosenthal Raul J
Affiliation:Department of Minimally Invasive Surgery, Shanghai Changhai Hospital, The Second Military Medical University, Shanghai 200433, China.
Abstract:
OBJECTIVE: To evaluate the safety and efficacy of laparoscopic compression anastomosis clip (LapCAC) for laparoscopic gastrointestinal anastomosis. METHODS: In March, 2007, three gastric cancer patients undergone total gastrectomy (1 case) and distal gastrectomy (2 cases) received laparoscopic gastrointestinal anastomosis with LapCAC. The gastrointestinal anastomotic complications, first post-operational flatus, bowel movement and extrusion of clip device were observed. RESULTS: No anastomotic complications such as leakage or obstruction were found. The clip was expelled with stool within 12-18 days. All the patients had good results in recovery of bowel function. CONCLUSION: LapCAC is safe and simple for laparoscopic gastrointestinal anastomosis.
Keywords:Stomach neoplasms  Gastroentemstomy  Laparoscopic compression anastomosisclip
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