Modified π-shaped esophagojejunostomy in totally laparoscopic total gastrectomy: a report of 40 consecutive cases from a single center.
Modified π-shaped esophagojejunostomy in totally laparoscopic total gastrectomy: a report of 40 consecutive cases from a single center.
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改良Ï形食管空肠吻合术在全腹腔镜全胃切除术中的应用：单中心连续40例报告
DOI：
10.1177/03000605221116328
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发表时间：
2022-08
影响因子：
1.6
通讯作者：
Su, Xiangqian
中科院分区：
文献类型：
--
作者：
Xing, Jiadi;Xu, Kai;Liu, Maoxing;Gao, Pin;Tan, Fei;Yao, Zhendan;Zhang, Nan;Yang, Hong;Zhang, Chenghai;Cui, Ming;Su, Xiangqian
关键词：
在全腹腔镜全胃切除术(TLTG)中，由于缺乏标准的吻合方法，体内食道空肠吻合术仍然是一项具有挑战性的技术。然而，据报道，π形的食道空肠吻合术是安全可行的。因此，我们评估了我们改良的π形食道空肠吻合术治疗TLTG的短期手术效果。这项研究涉及2018年4月至2019年10月期间未接受新辅助治疗的胃癌患者，由同一外科医生行TLTG术，改良的π形食道空肠吻合术。收集临床病理资料并进行回顾性分析。研究对象为40例确诊为胃癌的患者。平均手术时间为264.6 ± 56.9min，平均出血量为68.5min± 53.3min，平均出血量为68.5min± 53.3min。术后排气时间为4.6 ± 1.7d。术后平均恢复饮食时间为7.4 ± 1.7d。1例患者被诊断为吻合口瘘，经保守治疗。胸腔积液是最常见的并发症，发生在4例(10%)患者。一名患者出现腹内出血，需要再次手术。其他并发症有房颤和伤口感染。随访6个月，无一例死亡。改良π式食道空肠吻合术是一种安全可行的手术方法，手术效果良好。
Intracorporeal esophagojejunostomy remains a challenging technique in totally laparoscopic total gastrectomy (TLTG) because of the lack of an established standard anastomosis method. However, π-shaped esophagojejunostomy in TLTG is reportedly safe and feasible. Therefore, we evaluated the short-term surgical outcomes of our modified π-shaped esophagojejunostomy in TLTG. This study involved patients without neoadjuvant therapy diagnosed with gastric cancer who underwent TLTG by the same surgeon with modified π-shaped esophagojejunostomy from April 2018 to October 2019. Clinicopathologic data were collected and retrospectively analyzed. Forty patients diagnosed with gastric cancer were included. The mean operative time and estimated blood loss were 264.6 ± 56.9 minutes and 68.5 ± 53.3 mL, respectively. Postoperative flatus occurred at 4.6 ± 1.7 days. The mean time to resumption of diet was 7.4 ± 1.7 days postoperatively. One patient was diagnosed with anastomotic leakage and managed with conservative therapy. Pleural effusion was the most common complication, occurring in four (10%) patients. One patient developed intra-abdominal bleeding that required reoperation. Other complications were atrial fibrillation and wound infection. No mortality occurred during the 6-month follow-up. Modified π-shaped esophagojejunostomy is safe and feasible for intracorporeal anastomosis in TLTG and showed favorable surgical outcomes in this study.
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腹腔镜总胃切除术期间食管何诺施术的逐步引入的影响：日本的单中心体验。
影响因子：
2.2
作者：
Yasukawa D;Hori T;Kadokawa Y;Kato S;Machimoto T;Hata T;Aisu Y;Sasaki M;Kimura Y;Takamatsu Y;Ito T;Yoshimura T
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