摘要
目的 探讨胃肠吻合器下行胃大部切除术的临床应用价值。方法 应用胃肠吻合器、传统方法作胃大部切除术(毕氏2式)。结果 应用胃肠吻合器行胃大部切除术30例,平均手术时间89.5min,术中平均出血量11 2.6 ml,术后胃肠功能恢复时间46.0h,并发返流性胃炎1例,无死亡病例。传统方法的30例,平均手术时间120.5min,术中平均出血量21 3.2ml,术后胃肠功能恢复时间59.3 h,并发倾倒综合征1例,大出血2例(1例抢救无效死亡),急性胰腺炎1例,返流性胃炎3例。结论 应用胃肠吻合器作胃大部切除术具有出血少,手术时间短,胃肠功能恢复快,术后并发症少,可反复使用,廉价安全等优点,值得广大基层医院推广应用。
Objective To study the feasibility of the clinical application of the staplers in subtotal gastrectomy. Methods To compare subtotal gastrectomy using the staplers with the traditional subtotal gastrectomy (Billroth II). Results For the 30 cases of subtotal gastrectomy using the staplers, the average operation time is 89.5 minutes, the average bleeding is 112.6 ml, the time for the recovery of the gastroenter functions is 46 hours, one case of reflux gastritis is reported, no death is reported. For the 30 cases of the traditional subtotal gastrectomy, the average operation time is 120.5 minutes, the average bleeding is 213.2 ml, the time for the recovery of the gastroenter functions is 59.3 hours, one case of pumping syndrome is reported, 2 cases of haemorrhage (including one resulting in death), one case of acute pancreatitis, 3 cases of reflux gastritis. Conclusion Subtotal gastrectomy using the staplers has many advantages less bleeding, shorter operation time, more speedy recovery and less complications. It's safe. The staplers can be reused and this kind of operation is cheap. This measure should be promoted in the numerous elementary hospitals.
出处
《国际医药卫生导报》
2003年第04B期5-6,共2页
International Medicine and Health Guidance News
