摘要
全机器人下远端胃大部切除术,术中依次解剖胃右血管,胃小弯前壁,胃网膜右血管,胃网膜左血管,胃左血管后,分别离断胃周血管并完成D2清扫,用直线切割闭合器离断十二指肠,然后保留部分近侧胃并于胃上部以直线切割闭合器离断胃壁;然后用直线切割闭合器分别进行毕Ⅱ+Braun’s吻合。穿过winsiow孔于吻合口周围预防性留置腹腔引流管;适当延长脐下Trocar孔切口取出标本。
Robotic subtotal distal gastrectomy was performed as following:Firstly,to dissect the right gastric vessels,the anterior wall of the lesser curvature of the stomach,the right gastroepiploic vessels,the left gastroepiploic vessels and the left gastric vessels in turn.After that,the perigastric vessels were dissected and lymph node D2 dissection was completed.The duodenum was cut off with a Linear cut stapler,then the proximal stomach was retained and the gastric wall was cut off with a Linear cut stapler in the upper part of the stomach;the BillrothⅡgastrojejunostomy and the Braun’s Jejunojejunostomy were performed with a Linear cut stapler.Through the winslow hole,a drainage tube was placed around the anastomotic stoma,and the specimen was taken out by prolonging the trocar hole incision under the umbilicus.
作者
田园
赵群
林叶成
李勇
范立侨
Tian Yuan;Zhao Qun;Lin Yecheng;Li Yong;Fan Liqiao(The Forth Hospital of Hebei Medical University,Hebei 050011,China)
出处
《中华普外科手术学杂志（电子版）》
2020年第5期454-454,共1页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
关键词
胃肿瘤
机器人
胃切除术
远端胃大部切除术
Stomach neoplasms
Robotics
Gastrectomy
Distal subtotal gastrectomy
