Laparoscopic Devine exclusion gastroenterostomy for the palliation of unresectable and obstructing gastric carcinoma

被引：13

作者：

Ammori, BJ ^{[1
]}

Boreham, B ^{[1
]}

机构：

[1] Royal Gwent Hosp, Newport NPT 2VB, Gwent, Wales

来源：

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2002年 / 12卷 / 05期

关键词：

gastric carcinoma; obstruction; Devine exclusion; laparoscopic gastroenterostomy; laparoscopy; palliation;

D O I：

10.1097/00129689-200210000-00009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The Devine exclusion gastroenterostomy is an effective procedure for the relief of gastric outlet obstruction in patients with unresectable carcinoma of the gastric antrum. We report on the successful laparoscopic application of this technique in two male patients aged 61 and 76 years with unresectable and obstructing antral gastric cancer. The operating time was 90 minutes for each patient, and the postoperative hospital stay was 3 and 4 days, respectively. There were no delays in gastric emptying and no recurrences of gastric outlet obstruction until the time of death, 3.5 and 9 months postoperatively, respectively. The laparoscopic approach to a Devine exclusion gastroenterostomy is a safe and effective minimally invasive approach to the palliation of unresectable obstructing gastric carcinoma.

引用

页码：353 / 355

页数：3

共 16 条

[1] GASTRIC-CANCER - A 25-YEAR REVIEW [J].

ALLUM, WH ;

POWELL, DJ ;

MCCONKEY, CC ;

FIELDING, JWL .

BRITISH JOURNAL OF SURGERY, 1989, 76 (06) :535-540

[2]

[Anonymous], 1925, SURG GYNECOL OBSTET

[3]

BOZZETTI F, 1987, SURG GYNECOL OBSTET, V164, P151

[4] Laparoscopic gastrojejunostomy and endoscopic biliary stent placement for palliation of incurable gastric outlet obstruction with cholestasis [J].

Brune, IB ;

Feussner, H ;

Neuhaus, H ;

Classen, M ;

Siewert, JR .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (08) :834-837

[5] Palliation of malignant gastric outlet obstruction with self-expanding metal stents [J].

Feretis, C ;

Benakis, P ;

Dimopoulos, C ;

Georgopoulos, K ;

Milas, F ;

Manouras, A ;

Apostolidis, N .

ENDOSCOPY, 1996, 28 (02) :225-228

[6]

Hanazaki K, 2001, HEPATO-GASTROENTEROL, V48, P285

[7]

Kato K, 2001, HEPATO-GASTROENTEROL, V48, P569

[8]

Kum C. K., 1995, Singapore Medical Journal, V36, P228

[9] DEVINE EXCLUSION FOR UNRESECTABLE CARCINOMA OF THE STOMACH [J].

KWOK, SPY ;

CHUNG, SCS ;

GRIFFIN, SM ;

LI, AKC .

BRITISH JOURNAL OF SURGERY, 1991, 78 (06) :684-685

[10]

LAWRENCE W, 1958, CANCER, V11, P28, DOI 10.1002/1097-0142(195801/02)11:1<28::AID-CNCR2820110108>3.0.CO

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