[1]吴硕东,孔静,田雨.经脐单切口腹腔镜胃大部切除治疗胃、十二指肠溃疡[J].中国微创外科杂志,2012,12(1):73-74.
　Wu Shuodong,Kong Jing,Tian Yu..Transumbilical Singleincision Laparoscopic Subtotal Gastric Resection for Gastroduodenal Ulcer[J].Chinese Journal of Minimally Invasive Surgery,2012,12(1):73-74.
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经脐单切口腹腔镜胃大部切除治疗胃、十二指肠溃疡()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年1期
页码:
73-74
栏目:
术式探讨
出版日期:
2012-01-25

文章信息/Info

Title:
Transumbilical Singleincision Laparoscopic Subtotal Gastric Resection for Gastroduodenal Ulcer
作者:
吴硕东; 孔静; 田雨
中国医科大学附属盛京医院第一微创、胆道外科，沈阳110004
Author(s):
Wu Shuodong;  Kong Jing;  Tian Yu.
First Department of Minimally Invasive Surgery and Department of Biliary Surgery, China Medical University Shengjing Hospital, Shenyang 110004, China
关键词:
经脐单切口腹腔镜手术; 胃; 十二指肠; 消化性溃疡
Keywords:
Transumbilical singleincision laparoscopic surgery; Stomach; Duodenal; Peptic ulcer
分类号:
R656.6+1
文献标志码:
A
摘要:
2010年11月~2011年1月我科对3例胃、十二指肠溃疡疑有恶变，幽门狭窄造成梗阻的患者行经脐单切口腹腔镜胃大部切除术，手术时间分别为250、280、350 min，术中出血量分别为150、200、300 ml，无术后出血、吻合口漏及吻合口梗阻等并发症发生。分别于术后7、8、7 d出院。术后切口愈合良好。3例分别随访7、8、9个月，患者无腹痛、呕吐等症状出现。经脐单切口腹腔镜胃大部切除术治疗良性消化性溃疡安全、可行，有良好的美容效果。
Abstract:
Since November 2010 to January 2011, three cases of gastroduodenal ulcer suspicious of malignancy received transumbilical singleincision laparoscopic subtotal gastric resection in our hospital because of pyloric stenosis. The operation was completed in 250, 280, and 350 minutes, respectively with 150, 200 and 300 ml intraoperative blood loss. No postoperative hemorrhage, nor anastomotic leakage or obstruction occurred in the patients. They were discharged from hospital in 7, 8, and 7 days after the surgery and then were followed up for 7, 8, and 9 months respectively. All the patients had the surgical wound healed well,and no one had abdominal pain, vomiting or other gastrointestinal symptoms. Transumbilical singleincision laparoscopic subtotal gastric resection is feasible, safe, and effective for gastroduodenal ulcer with good cosmetic outcomes.

参考文献/References:

[1]仇明.腹腔镜下胃次全切除一例.中华医学杂志,1994,74(5):305.
[2]黄峰,应敏刚,周东.腹腔镜胃间质瘤切除术32例报告.中国微创外科志,2009,9(10)929-930.
[3]Azagra JS, Goergen M, De Simone P, et al. Minimally invasive surgery for gastric cancer. Surg Endosc,1999,13 (4):351-357.
[4]孙跃明,白剑锋,蔡辉华,等.腹腔镜技术在胃良性疾病中的应用：附68例报道.外科理论与实践,2007,12(6):553-555.
[5]Saber AA, ElGhazaly TH, Minnick DB. Single port access transumbilical laparoscopic RouxenY gastric bypass using the SILS Port: first reported case. Surg Innov,2009,16(4):343-347.
[6]Bucher P, Pugin F, Morel P. Transumbilical singleincision laparoscopic intracorporeal anastomosis for gastrojejunostomy: case report. Surg Endosc, 2009,23(7):1667-1670.
[7]Henckens T, Van de Putte D, Van Renterghem K, et al. Laparoendoscopic singlesite gastrectomy for a gastric GIST using doublebended instruments. J Laparoendosc Adv Surg Tech A, 2010, 20(5):469-471.

更新日期/Last Update: 2013-04-11