腹腔镜全胃切除术 |
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引用本文: | 李国新,王达,胡彦锋,余江,陈韬.腹腔镜全胃切除术[J].中华普外科手术学杂志(电子版),2014(4):36-39. |
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作者姓名: | 李国新 王达 胡彦锋 余江 陈韬 |
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作者单位: | 南方医科大学南方医院普通外科,广州510515 |
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基金项目: | 国家临床重点专科建设项目、广东省科技计划重点项目(No.2012A030400012) |
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摘 要: | 尽管技术手段不断改良更新,腹腔镜全胃切除术中的腔内食管空肠Roux-en-Y吻合仍然在技术上充满挑战,成为制约其发展的瓶颈之一.据此,我们团队利用“一体化捆绑技术”使用经口抵钉座置入系统改进了这一过程.本文视频展示了1例胃多原发腺癌病例:贲门](T1)和胃窦(T2)各见一病灶,仅小弯侧幽门周围见1枚可疑淋巴结肿大,未见转移征象.一般地,我中心对于近端胃局部进展期癌常规行No.10组淋巴结清扫,但本例贲门 处为早期病变,故行腹腔镜全胃切除、D2-No.10淋巴结清扫术.
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关 键 词: | 胃肿瘤 腹腔镜检查 吻合术 外科 |
Laparoscopic total gastrectomy for gastric cancer |
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Authors: | Li Guoxin Wang Da Hu Yanfeng Yu Jiang Chen Tao |
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Institution: | (Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangdong 510515, China) |
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Abstract: | Although several methods have been introduced,intracorporeal Roux-en-Y esophagojejunostomy during laparoscopic total gastrectomy for gastric cancer remains a challenge.We modified this procedure (integrated binding technique) based on a surgical string fixing technique by using a transorally inserted anvil (OrVilTM; Covidien).The attached video introduced a case of multicentric primary gastric adenocarcinoma:one lesion located in the cardia (T1-staging) and the other in the antrum of the stomach (T2-staging) with only one suspiciously involved lymph node(LN) near the pylorus along the lesser curvature and without distant metastasis.Generally,No.10 LN dissection is a routine procedure for advanced proximal gastric cancer in our center.However,in this case,cardia lesion here was defined early stage tumor,thereby laparoscopic total gastrectomy was performed with D2-No.10 lymphadectomy. |
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Keywords: | Stomach neoplasms Laparoscopy Anastomosis surgcal |
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