Hand-assisted laparoscopic distal gastrectomy with abdominal wall-lift method

被引：46

作者：

Ohki, J ^{[1
]}

Nagai, H ^{[1
]}

Hyodo, M ^{[1
]}

Nagashima, T ^{[1
]}

机构：

[1] Yuki Hosp, Dept Surg, Ibaraki, Osaka 3070001, Japan

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1999年 / 13卷 / 11期

关键词：

hand-assisted procedure; gasless laparoscopy; abdominal wall-lift; gastrectomy; stomach;

D O I：

10.1007/s004649901192

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

We performed a hand-assisted laparoscopic resection of the distal stomach for treatment of gastric cancer with use of an abdominal wall-lift method. The surgeon's left hand, which was inserted through a right lower quadrant incision, was extremely useful in accomplishing D2 lymph node dissection, application of a pursestring instrument, and approximation of a circular stapler to carry out a Billroth I anastomosis. Abdominal wall-lift enabled us to perform the gastrectomy without any concern about gas leakage. The combination of the wall-lift method and hand assistance seems to further enlarge the possibilities of laparoscopic procedures, especially in gastrointestinal surgery.

引用

页码：1148 / 1150

页数：3