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中华普外科手术学杂志(电子版) ›› 2019, Vol. 13 ›› Issue (02) : 121 -124. doi: 10.3877/cma.j.issn.1674-3946.2019.02.003

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腹腔镜胃癌根治三角吻合术技术要点与意义
李子禹1,(), 李双喜1, 张连海1, 陕飞1, 贾永宁1, 苗儒林1, 薛侃1, 李浙民1, 季加孚1   
  1. 1. 100142 北京大学肿瘤医院
  • 收稿日期:2018-09-26 出版日期:2019-04-26
  • 通信作者: 李子禹

The key technical points and significance of Delta-shaped anastomosis in laparoscopic radical gastrectomy

Ziyu Li1,(), Shuangxi Li1, Lianhai Zhang1, Fei Shan1, Yongning Jia1, Rulin Miao1, Kan Xue1, Zhemin Li1, Jiafu Ji1   

  1. 1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery, Peking University Cancer Hospital & Institute, Beijing 100142, China
  • Received:2018-09-26 Published:2019-04-26
  • Corresponding author: Ziyu Li
  • About author:
    Corresponding author: Li Ziyu, Email:
  • Supported by:
    Main Project of Beijing Municipal Science & Technology Commission(NO.D17110700650000 and D171100006517004)
引用本文:

李子禹, 李双喜, 张连海, 陕飞, 贾永宁, 苗儒林, 薛侃, 李浙民, 季加孚. 腹腔镜胃癌根治三角吻合术技术要点与意义[J/OL]. 中华普外科手术学杂志(电子版), 2019, 13(02): 121-124.

Ziyu Li, Shuangxi Li, Lianhai Zhang, Fei Shan, Yongning Jia, Rulin Miao, Kan Xue, Zhemin Li, Jiafu Ji. The key technical points and significance of Delta-shaped anastomosis in laparoscopic radical gastrectomy[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(02): 121-124.

随着腹腔镜理念、技术及器械的更新,胃癌腹腔镜手术也向着更加微创化的方向发展。完全腹腔镜技术的提出对胃癌术后消化道重建提出了挑战,三角吻合是在此背景下应运而生的重建方式,对胃癌完全腹腔镜手术起到了极大的促进、推广作用,而其改良术式overlap吻合也显示出了良好的应用前景。本文对此类吻合进行经验总结。

With the devolopment of concept, technology, and equipment, laparoscopic gastrectomy for gastric cancer is moving towards a more minimally invasive direction. The proposition of totally laparoscopic surgery presents a challenge to the digestive reconstruction after gastrectomy. Delta-shaped anastomosis is a new reconstruction method born under such a circumstance, which plays a substantial role in the promotion and dissemination of totally laparoscopic gastrectomy. The modified method, overlap anastomosis, also shows a good application prospect. This paper summarizes the clinical experience by using this kind of anastomosis.

图1 三角吻合十二指肠离断及管腔开放
图2 三角吻合胃体离断及管腔开放
图3 胃十二指肠三角吻合
图4 Overlap吻合十二指肠离断及管腔开放
图5 Overlap吻合胃体离断及管腔开放
图6 胃十二指肠overlap吻合
图7 三角吻合与overlap吻合的对比
表1 三角吻合与overlap吻合的对比
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