未经批准:空肠造口术通常适用于口服摄入困难和无法切除的胃癌患者,有术后并发症风险的患者,以及胃切除术后需要营养管理的患者。在这份报告中,我们讨论了腹腔镜空肠吻合术的病例。
方法:案例1:对一名60岁男性进行上消化道内镜检查,发现上胃癌伴广泛浸润和下食管狭窄。他有食道转运困难,因此,接受了腹腔镜空肠造口术和分期腹腔镜检查。病例2:一名62岁男性上消化道内镜检查发现胃窦有3型肿瘤。他有慢性阻塞性肺疾病史,需要家庭氧疗,肺动脉高压,心力衰竭,围手术期风险很高。因此,同时进行了腹腔镜远端胃切除术和腹腔镜空肠造口术.
UNASSIGNED:肠内营养比静脉营养有很多优势,包括维持免疫力和肠粘膜,避免细菌移位,降低导管感染的风险。尽管有一些腹腔镜空肠造口术的报道,预计该技术在未来将变得更加广泛和安全。
结论:腹腔镜空肠造口术被认为是有用的,微创,和安全技术。
UNASSIGNED: Jejunostomy is often indicated for patients with oral intake difficulties and unresectable gastric cancer, patients at risk of postoperative complications, and patients who require nutritional management after gastrectomy. In this report, we discuss the cases with laparoscopic jejunostomy in our department.
METHODS: Case 1: An upper gastrointestinal endoscopy performed for close examination in a 60-year-old male revealed upper gastric cancer with extensive invasion and lower esophageal stenosis. He had difficulty with esophageal transit and, consequently, underwent a laparoscopic jejunostomy and staging laparoscopy. Case 2: Upper gastrointestinal endoscopy in a 62-year-old male revealed type 3 tumor in the gastric antrum. He had a history of chronic obstructive pulmonary disease requiring home oxygen therapy, pulmonary hypertension, and heart failure, and was at a high perioperative risk. Consequently, both laparoscopic distal gastrectomy and laparoscopic jejunostomy were performed.
UNASSIGNED: Enteral nutrition has many advantages over venous nutrition, including maintenance of immunity and intestinal mucosa, avoidance of bacterial translocation, and decreased risk of catheter infection. Although there are a few reports of cases with laparoscopic jejunostomy, it is expected that the technique will become more widespread and safe in the future.
CONCLUSIONS: Laparoscopic jejunostomy is considered a useful, minimally invasive, and safe technique.