| 篇名 |
Hand-assisted laparoscopic mobilization of stomach via GelPort for esophageal reconstruction in patients with esophageal injury: Report of five cases |
| 作者 |
Torng-Sen Lin, Chung-Yow Lai, Kun-Chou Hsieh, Chen-Tay Hou, Yu-Hsin Chiang, Shou-Jen Kuo |
| 卷期/出版年月 |
35卷4期 (2002/8) |
| 頁次 |
188-192 |
| 摘要 |
Hand-assisted laparoscopic surgery have often been applied for the treatment of numerous gastric diseases. However, reports of hand-assisted laparoscopic gastric mobilization with GelPort for esophageal reconstruction are rare. From March 2001 to September 2001, five patients received esophageal reconstruction via GelPort-assisted laparoscopic surgery. They were three female and two male with a mean age of 43.2 years (range: 20-61 years). During operation, all patients were placed in lithotomy position under single lumen intubated anesthesia. First, hand-assisted laparoscopic gastric mobilization through a 7-cm upper abdominal incision was done with the assistance of both GelPort and Harmonic scalpel. Then, cervical esophagogastrostomy though the retrosternal route was performed. The underlying diaseases included two patients with esophageal trauma and three patients with esophageal burn. The average operative time took 3.3 hours (range: 2.9-4.2 hours). The average hospital stay was 10.2 days (range: 9-12 days). The blood loss was minimal (rnge: 50-120 ml). All patients had succeddful operation without any complication. There were no surgical mortality cases. All of them could tolerate solid food very well after a mean follow-up of 4.2 months (range: 2-7 months). Hand-assisted laparoscopic mobilization of stomach via GelPort for esophageal reconstruction is a safe and feasible operation in treating patients with esophageal injury. |
| 關鍵詞 |
Hand-assisted laparoscopic surgery, esophageal reconstruction, corrosive injury, esophageal trauma |
| 分類 |
Case Report |
