Nghiên cứu đặc điểm kỹ thuật cắt phần xa dạ dày nội soi hoàn toàn điều trị ung thư dạ dày-Reference-Cited by-同舟云学术

Nghiên cứu đặc điểm kỹ thuật cắt phần xa dạ dày nội soi hoàn toàn điều trị ung thư dạ dày

Published:2023-06-05 Issue:88 Volume: Page:
ISSN:1859-3895
Container-title:Journal of Clinical Medicine- Hue Central Hospital
language:en
Short-container-title:jcmhch

Author:

Luong Cuong

Abstract

TÓM TẮT Mục tiêu: Nghiên cứu kỹ thuật phục hồi lưu thông tiêu hóa kiểu Finsterer trong phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn. Đối tượng, phương pháp: 108 trường hợp được phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, phục hồi tiêu hóa theo kiểu Finsterer tại Khoa phẫu thuật ống tiêu hóa, Bệnh viện TƯQĐ 108, từ 01/2019 đến 11/2020. Phẫu thuật theo 5 bước. Phục hồi lưu thông tiêu hóa theo kiểu Finsterer, Sử dụng stapler thẳng nối bờ tự do hỗng tràng với bờ cong lớn dạ dày, thực hiện miệng nối trước, sau đó đóng kín miệng nối đồng thời với cắt dạ dày. Kết quả: Thời gian phẫu thuật: 167,64 ± 42,99 phút (80 - 315 phút); thời gian cắt và đóng mỏm tá tràng: 8,71 ± 4,16 phút (3 - 22 phút); thời gian thực hiện miệng nối: 16,68 ± 5,13 phút (9 - 34 phút); số hạch vét được: 27,15 ± 10,39 hạch (7 - 61 hạch); thời gian trung tiện: 3,38 ± 1,25 ngày (1 - 8 ngày); thời gian nằm viện: 8,68 ± 4,12 ngày (5 - 44 ngày). Biến chứng sớm 5,6 %. Kết luận: Kỹ thuật phục hồi lưu thông tiêu hóa kiểu Finsterer trong phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn là an toàn, có thể lựa chọn cho phẫu thuật cắt phần xa dạ dày nội soi. ABSTRACT STUDY ON TECHNICAL CHARACTERISTICS OF TOTALLY LAPAROSCOPIC DISTAL GASTRECTOMY FOR GASTRIC CANCER TREATMENT Objectives: To study some technical characteristics of Finsterer-type gastrointestinal circulation restoration, using linear staplers to perform anastomosis in totally laparoscopic distal gastrectomy. Methods: There were 108 cases of totally laparoscopic distal gastrectomy, Finsterer- style restoration of gastrointestinal circulation at the Department of Gastrointestinal Surgery, 108 Central Hospital. Period from January 2019 to November 2020. Clinical intervention descriptive study. Surgical technique: We perform surgery in 5 steps. Restoration of gastrointestinal circulation according to Finstere style, anastomosis of the jejunum with the great curvature of the stomach, side to side anastomosis. Using linear staplers, perform the anastomosis first, and then close the anastomosis simultaneously with gastrectomy. Results: The average surgical time was 167.64 ± 42.99 minutes (80 - 315 minutes); the average time of cutting and closing the duodenal was 8.71 ± 4.16 minutes (3 - 22 minutes); average anastomosis time is 16.68 ± 5.13 minutes (9 - 34 minutes); the average number of removed lymph nodes is 27.15 ± 10.39 nodes (7 - 61); time to first flatus was 3.38 ± 1.25 days (1 - 8 days); mean hospital stay was 8.68 ± 4.12 days (5 - 44 days). The rate of early complications after surgery was 5.6%. Conclusion: Finsterer’s technique of restoring gastrointestinal circulation, using a linear staplers to perform anastomosis in totally laparoscopic distal gastrectomy is safe and feasible. This technique may be an option for totally laparoscopic distal gastrectomy.

Publisher

Hue Central Hospital

Subject

General Medicine

Reference10 articles.

1. 1. Global Cancer Observatory. Cancer fact sheets, All cancers. 2020:1.

2. 2. Global Cancer Observatory. Population fact sheets, Viet Nam Stomach cancers. 2020:1.

3. 3. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2018 (5th edition). Gastric Cancer. 2021;24(1):1-21.

4. 4. Lee J, Kim D, Kim W. Comparison of laparoscopy - assisted and totally laparoscopic Billroth - II distal gastrectomy for gastric cancer. Journal of the Korean Surgical Society. 2012;82(3):135-142.

5. 5. Chen K, Xu X, Mou Y. et al. Totally laparoscopic distal gastrectomy with D2 lymphadenectomy and Billroth II gastrojejunostomy for gastric cancer: Short - and medium - term results of 139 consecutive cases from a single institution. Int J Med Sci. 2012;10(11):1462-1470.