It is always completely alleviated by total gastrectomy . 全胃切除永遠(yuǎn)完全緩解癥狀。
Results except 5 cases were converted to open surgery ( conversion rate 7 . 5 % ) , the other 61 cases of gasless laparoscopic cholecystectomy ( 41 ) , inguinal herniorrhaphy ( 2 ) , abdomino - perineal resection of rectal carcinoma ( 9 ) , sigmoidectomy ( 3 ) , left hemi - colectomy ( 1 ) , hand - assisted sigmoidoproctectomy ( 1 ) , hand - assisted right hemi - colectomy ( 1 ) , partial excision of cecum ( 1 ) , sub - total gastrectomy ( 1 ) , and abdominal plasty ( 1 ) were successfully performed with no mobidity and mortality 結(jié)果66例非氣腹腹腔鏡手術(shù)中, 5例中轉(zhuǎn)開腹(中轉(zhuǎn)率7 . 5 % ) , 61例包括膽囊切除、結(jié)直腸切除、盲腸部分切除、胃大部切除、腹股溝疝修補(bǔ)、腹壁緊縮成形術(shù)等獲成功。
Objective : to establish a rat model of orthotopic gastric isotransplantation by using microsurgical techniques . methods : 70 sd rats were used in our experiment and 35 gastric trasplantations were carried out . in the donor ' s operation : after the spleen was resected and the proper liver artery was ligated , the stomach was perfused through the abdominal aorta . then the stomach was resected with its peripheral blood vessels including celiac trunk and the portal vein , etc . in the recipient operation : after the stomach and the spleen were reseeted , the implantation was performed by the following sequence : the end - to - side anastomosis between the portal veins . the end - to - end anastomosis between the celiac trunk and the left gastric artery . open the blood flow to observe the effect of the blood supply of the stomach . the end - to - end anastomosis between the duodenum . the end - to - end anastomosis between the cardiac and the esophagus . results : 35transplantations were carried out in which the operation success rate in the last 20 cases was 80 ( 16 / 20 ) . the average operation time was 2 . 35 h . the longest survival time was over three months . conclusions : the model of orthotopic gastric transplantation in rat was successfully established . it could be used to study the transplanted stomach in the abdominal multiviseeral transplantation and the reconstruction after the total gastrectomy 目的應(yīng)用顯微外科技術(shù),建立大鼠原位異體胃移植模型.方法70只sd大鼠,行35例次的胃移值手術(shù).供體手術(shù),先切除脾臟,經(jīng)腹主動(dòng)脈行原位胃冷灌洗.將胃及其所屬血管,包括腹腔干和門靜脈干等一并切取.受體手術(shù),先切除胃和脾臟,分別行供、受體間門靜脈的端側(cè)吻合,供體腹腔干與受體胃左動(dòng)脈的端端吻合,然后開放血流.再行供體和受體十二指腸間端端吻合,賁門與食管端端吻合.結(jié)果在施行的35例手術(shù),后20例中有16例成功,成功率為80 .最長(zhǎng)存活者達(dá)3個(gè)月.結(jié)論成功地建立了大鼠原位異體胃移植類型.該模型可用于腹部多臟器移植中移植胃的相關(guān)研究及全胃切除術(shù)后代胃的研究