| 管型吻合器在经腹全胃切除P型空肠袢代胃术中的应用 |
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| 引用本文： | 陈少华,臧书源,魏炜明. 管型吻合器在经腹全胃切除P型空肠袢代胃术中的应用[J]. 实用临床医学(江西), 2006, 7(11): 66-67,70 |
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| 作者姓名： | 陈少华 臧书源 魏炜明 |
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| 作者单位： | 南京军区福州总医院肝胆外科,福州350025 |
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| 摘 要： | 目的：探讨管型吻合器在经腹全胃切除P型空肠袢代胃术中的应用。方法：对126例经腹全胃切除P型空肠袢代胃术患者术中采用管型吻合器行食管-空肠、空肠-空肠（P型袢）及空肠-空肠（Roux-Y）吻合口吻合。结果：所有患者手术均获成功，手术时间2～2．5h，平均3．5h，其中3个吻合口吻合完成时间25～50min，平均40min；无手术死亡病例，无吻合口瘘、出血及狭窄等严重并发症。结论：经腹全胃切除P形空肠袢代胃术中采用管型吻合器行3个吻合口吻合具有操作简便、技术可靠及并发症少等优点。
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| 关 键 词： | 全胃切除 消化道重建 外科缝合器 |
| 文章编号： | 1009-8194（2006）11-0066-02 |
| 收稿时间： | 2006-08-23 |
| 修稿时间： | 2006-08-23 |
Application of Circular Stapler to P-Shaped Jejunal Interposition in Total Gastrectomy Through Celiotomy |
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| CHEN Shao-hua,ZANG Shu-yuan,WEI Wei-ming. Application of Circular Stapler to P-Shaped Jejunal Interposition in Total Gastrectomy Through Celiotomy[J]. Practical Clinical Medicine, 2006, 7(11): 66-67,70 |
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| Authors: | CHEN Shao-hua ZANG Shu-yuan WEI Wei-ming |
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| Affiliation: | Department of Hepatobiliary Surgery ,the Fuzhou General Hospital of Nanjing Military Area Command ,Fuzhou 350025 ,China |
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| Abstract: | Objective:To investigate the rationality of application of circular stapler to P-shaped jejunal interposition in total gastrectomy through celiotomy.Methods:In 126 total gastrectomy cases through celiotomy,circular staplers were used in three stomas of P-shaped jejuno-esophagostomy and rous-y jejuno-jejunostomy.Results: There was no death and no sever complications(anastomotic leakage,bleeding,stenosis,and so on) in these cases.The patients restore were rapid.Conclusion:Application of three circular staplers to P-shaped jejunal interposition in total gastrectomy through celiotomy is an operation in terms of safety,convenience and less complications. |
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| Keywords: | total gastrectomy digestive tract reconstruction circular stapler |
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