摘要
目的 介绍新型经口底钉座置入装置（OrVil^TM,Covidien）在腹腔镜胃切除食管-空肠或残胃管状吻合术中的应用,探讨其可行性、安全性及临床效果.方法 对5例贲门、胃体癌患者及1例贲门部间质瘤患者分别施行腹腔镜下根治性全胃切除加食管-空肠Roux-en-Y吻合术以及近端胃次全切除加食管-残胃吻合术,用新型OrVil^TM装置经口将底钉座置入食管下端,进行食管-空肠或食管-残胃吻合.结果 6例患者手术均顺利,手术时间（183.3±25.8）min,术中出血（128.3±90.2）ml;术后（4.0±1.1）d恢复胃肠功能当天,行上消化道碘剂造影提示吻合口通畅无狭窄和瘘后开始进食,术后（9.0±2.6）d出院.术后28 d随访,患者一般情况良好,无吻合口狭窄等并发症发生.结论 用OrVil^TM新型装置在食管内放置底钉座,行食管-空肠（残胃）管状吻合安全可靠,近期临床疗效佳.
Objective To report the newly developed reconstruction technique after laparoscopic total gastrectomy：intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil （OrVil^TM;Covidien）,and evaluate its feasibility,safety,and clinical outcomes.Methods After LTG （3 patients with gastric carcinoma in the body） or LPG（2 patients with gastric carcinoma in the cardiac and fundus,respectively,and 1 with cardiac stromal tumor）,the anvil was then inserted transorally into the esophagus by using the OrVil^TM system.Double-stapling esophagojejunostomy or esophagogastrostomy with a circular stapler was performed intracorporeally.Results The operations were uneventful The operative time was （183.3±25.8） min,and blood loss was （128.3±90.2） ml.Postoperative fluorography revealed no anastomotic leakage or stenosis.Patients resumed an oral liquid diet on postoperative day （4.0±1.1）,and were discharged on day （9.0±2.6）.Patients were followed at 28 days and no complications were reported.Conclusions LTG with Roux-en-Y reconstruction or LPG with esophagogastrostomy using the OrVil^TM system appear to be safe and reliable with satisfactory shortterm outcomes.
出处
《中华胃肠外科杂志》
CAS
北大核心
2010年第1期29-32,共4页
Chinese Journal of Gastrointestinal Surgery
