Operation path of laparoscopy-assisted gastrectomy
10.3760/cma.j.issn.1673-9752.2010.04.021
- VernacularTitle:腹腔镜胃癌手术的路径
- Author:
Feng QIAN
;
Bo TANG
;
Peiwu YU
;
Yingxue HAO
;
Yuanzhi LAN
;
Yan SHI
;
Yongliang ZHAO
;
Huaxing LUO
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Laparoscopy;
Operation path
- From:
Chinese Journal of Digestive Surgery
2010;09(4):299-302
- CountryChina
- Language:Chinese
-
Abstract:
The operation path, lymph node dissection and reconstruction of the alimentary tract are the three most technical difficulties of laparoscopy-assisted gastrectomy. The essential difference between laparoscopy-assisted gastrectomy and open gastrectomy is the operation path. Based on our clinical experience, we investigated reasonable paths for laparoscopyassisted gastrectomy. Patients were placed in a supine position with their legs apart, and the operator stood on the left side of the patient. Five trocars were placed in the abdominal wall in a curved line. The operation was carried out in the order of greater gastric curvature, the lower region of the pylorus and antrum,the upper region of the pancreas, omentum minus, cardia, and arcuate diaphragm. From May 2004 to April 2010, we successfully carried out 761 laparoscopy-assisted gastrectomies with satisfactory outcomes.
