Operative cooperation of laparoscopic transhiatal proximal gastrectomy for the esophagogastric junction adenocarcinoma
10.3760/cma.j.issn.1674-2907.2012.36.034
- VernacularTitle:腹腔镜经膈肌裂孔近侧胃切除治疗食管胃交界腺癌的手术配合
- Author:
Bang-Cui YANG
1
;
Xiu-Lian HE
;
Jing LI
;
Feng-Chun XIE
;
Xiao-Hua ZHANG
Author Information
1. 川北医学院第二临床学院 南充市中心医院护理部
- Keywords:
Laparoscopic operation;
Esophagogastric junction neoplasms;
Transhiatal proximal gastrectomy;
Operative cooperation
- From:
Chinese Journal of Modern Nursing
2012;18(36):4439-4441
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the safety and experience of operative cooperation of the laparoscopic transhiatal proximal gastrectomy therapy for esophagogastric junction adenocarcinoma.Methods Totals of 98 cases with esophagogastric junction adenocarcinoma underwent the treatment of laparoscopic transhiatal proximal gastrectomy were analyzed and summarized.Results Totals of 96 patients underwent laparoscopic transhiatal proximal gastrectomy successfully and 2 converted to open operation (one patient combined splenectomy and the other combined splenectomy and resection of the tail of the pancreas).The mean operative time was (224.1 ± 33.7) main and the mean blood loss was (69.4 ±26.1) ml.The mean length of esophageal resection was (4.0 ± 0.6) cm and no cancer cells were found in the incision edge.The number of lymph nodes removed was (16.4 ± 5.7).Among 96 patients,pleural laceration occurred 14 cases and spleen injury occurred 3 cases,no postoperaive mortalities happened.After follow-up from 3 month to 30 month,5 patients died.Conclusions Fully preoperative assessment and closely cooperation of operation team are important for the laparoscopic transhiatal proximal gastrectomy therapy for esophagogastric junction adenocarcinoma,which have a good short-term clinical effects.
