| 胃癌全腹腔镜下全胃切除术后行改良Overlap法消化道重建的疗效评价 |
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| 引用本文： | 马宝录,曹农. 胃癌全腹腔镜下全胃切除术后行改良Overlap法消化道重建的疗效评价[J]. 中国综合临床, 2019, 0(4): 364-367 |
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| 作者姓名： | 马宝录 曹农 |
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| 作者单位： | 甘肃省天水市张家川回族自治县中医医院普外科;兰州大学第一医院普外科 |
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| 摘 要： | 目的评价胃癌患者接受全腹腔镜下全胃切除术(totally laparoscopic total gastrectomy,TLTG)后应用改良Overlap法实施消化道重建的临床效果。方法回顾性分析2014年1月至2017年1月兰州大学第一医院收治TLTG的86例胃癌患者资料,均施行D2淋巴结清扫术。其中44例以传统Overlap法行消化道重建(对照组),另42例以改良Overlap法行消化道重建(改良组)。对两组患者术中和术后情况、术后无瘤生存、肿瘤复发转移等情况进行统计对比。随访时间截至2018年2月。结果两组均成功实施TLTG,无一例中转开腹。改良组食管空肠吻合时间[(20.4±2.3)min与(46.5±4.4)min,t=9.493]、总手术时间[(253.3±12.8)min与.(278.6±14.9)min,t=5.462]均较对照组明显缩短,两组比较差异均有统计学意义(P均<0.05)。改良组与对照组术中出血量[(71.5±12.9)ml与(73.2±15.3)ml,t=0.286]、淋巴结清扫数[(35.5±4.8)枚与(34.2±5.6)枚,t=0.618]、术后首次排气时间[(2.6±0.9)d与(2.7±1.1)d,t=0.348]、术后住院时间[(9.9±1.6)d与(9.8±1.7)d,t=0.229]及术后并发症[7.1%(3/42)与9.1%(4/44),χ^2=0.207]比较差异均无统计学意义(P均>0.05)。两组均获随访12~25个月,均无一例发生肿瘤复发转移情况。结论TLTG应用改良Overlap法实施消化道重建,相对于传统Overlap法吻合过程简化、手术时间缩短、吻合效果有效可靠。
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| 关 键 词： | 胃肿瘤 腹腔镜检查 根治性手术 食管空肠吻合 |
Evaluation of modified Overlap method in digestive tract reconstruction after totally laparoscopic total gastrectomy for gastric cancer |
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| Ma Baolu,Cao Nong. Evaluation of modified Overlap method in digestive tract reconstruction after totally laparoscopic total gastrectomy for gastric cancer[J]. Clinical Medicine of China, 2019, 0(4): 364-367 |
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| Authors: | Ma Baolu Cao Nong |
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| Affiliation: | (Department of General Surgery,Traditional Chinese Medicine Hospital of Zhangjiachuan Hui Autonomous County,Tianshui 741500,China;Department of General Surgery,the First Hospital of Lanzhou University,Lanzhou 730000,China) |
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| Abstract: | Ma Baolu;Cao Nong(Department of General Surgery,Traditional Chinese Medicine Hospital of Zhangjiachuan Hui Autonomous County,Tianshui 741500,China;Department of General Surgery,the First Hospital of Lanzhou University,Lanzhou 730000,China) |
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| Keywords: | Gastric neoplasms Laparoscopy Radical surgery Esophagojejunostomy |
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