Intestinal derotation maneuver for resection of intestinal neoplasm near the ligament of Treitz
10.3760/cma.j.issn.1007-631X.2017.10.009
- VernacularTitle:肠道去旋转手法在Treitz韧带附近肠道肿瘤手术中的应用
- Author:
Zhiming MA
1
;
Pengda SUN
;
Xuedong FANG
;
Hao LIU
;
Junyang WANG
;
Xudong WANG
Author Information
1. 吉林大学附属第二医院胃肠营养及疝外科
- Keywords:
Gastrointestinal neoplasms;
Operative procedure,surgical;
Intestinal derotation
- From:
Chinese Journal of General Surgery
2017;32(10):832-834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the the feasibility of intestinal derotation maneuver in the resection of gastrointestinal neoplam localized in the vicinity of the ligament of Treitz.Method Intestinal derotation maneuver was applied in all the 9 case of gastrointestinal neoplasms near the ligament of Treitz,from January 2014 to January 2016,at the Second Hospital of Jilin University.The clinical date were retrospectively analyzed.Results Intestinal derotation maneuver were applied without failure in all the nine patients,the mean operation time were (195 ± 50) min,and the mean intestinal derotation maneuver time were (19 ±5) min;No derotation procedure-related injury occured,and the mean estimated blood loss were (132 ±94) ml.Early postoperative ileus developed in one case and gastroparesis in two cases.All were recovered by conservative treatment.The follow-up period were 3-24 month,tumor recurrence occurred in two cases and one case died.One case lossed to follow-up after postoperative 3 month.Conclusion The present data suggest that clinical use of intestinal derotation maneuver was feasible for surgical management of gastrointestinal neoplasms near the ligament of Treitz.
