E.Feliciotti(通訊作者)DepartmentofSurgery,“OspedaliRiuniti”UniversityHospital,Ancona,Italye-mail:feliciotti@live.itR.RidolfoDivisionofGeneralSurgery,SenigalliaGeneralHospital,Senigallia,Italye-mail:raffaella.ridolfo@email.itP.StortoniDivisionofGeneralSurgery,...[繼續(xù)閱讀]

    圖7-1患者躺于可調(diào)節(jié)手術臺,取Lloyd-Davies體位,左臂外展,頭及上身抬高20°(反Trendelenburg體位)。麻醉后留置胃管和導尿管。術者站于患者兩腿之間,扶鏡手位于患者右側,另一助手有時也需站在患者右側,器械護士及器械臺位于患者左側。...[繼續(xù)閱讀]

    P.Stortoni(通訊作者)DivisionofGeneralSurgery,“A.Murri”Hospital,Fermo,Italye-mail:pierpaolostortoni@libero.itE.FeliciottiDepartmentofSurgery,“OspedaliRiuniti”UniversityHospital,Ancona,Italye-mail:feliciotti@live.itR.RidolfoDivisionofGeneralSurgery,SenigalliaGe...[繼續(xù)閱讀]

    (一)探查仔細探查肝臟、膈肌、內(nèi)臟漿膜層、大網(wǎng)膜、小腸系膜及盆腔臟器?？梢刹≡钣枰曰顧z并送術中快速冰凍病理檢查。行術中灌洗細胞學檢查。術中超聲檢查以評估肝臟有無內(nèi)部轉移。肝臟及腹膜種植轉移者應改變處置方式。...[繼續(xù)閱讀]

    R.Ridolfo(通訊作者)DivisionofGeneralSurgery,SenigalliaGeneralHospital,Senigallia,ItalyDivisionofGeneralSurgery“A.Murri”Hospital,Fermo,Italye-mail:raffaella.ridolfo@email.itP.StortoniDivisionofGeneralSurgery,“A.Murri”Hospital,Fermo,Italye-mail:pierpaolostorton...[繼續(xù)閱讀]

    圖4-3確定大彎側離斷點,需保留不少于2支胃短血管及胃后動脈,以保障殘胃具有良好的血供及營養(yǎng)供給。...[繼續(xù)閱讀]

    P.Stortoni(通訊作者)DivisionofGeneralSurgery,“A.Murri”Hospital,Fermo,Italye-mail:pierpaolostortoni@libero.itE.FeliciottiDepartmentofSurgery,“OspedaliRiuniti”UniversityHospital,Ancona,Italye-mail:feliciotti@live.itR.RidolfoDivisionofGeneralSurgery,SenigalliaGe...[繼續(xù)閱讀]

    圖2-27游離十二指腸球部,距離幽門至少3～4cm。圖2-28直線型胃腸吻合器GIA55距離幽門至少2～3cm,距離十二指腸肛側游離邊緣1cm,確認理想的切割閉合位置,關閉GIA55。圖2-29圖2-28示意圖。圖2-30橫斷十二指腸,用聚維酮碘浸濕的紗布墊覆蓋兩...[繼續(xù)閱讀]

    W.SiquiniDivisionofGeneralSurgery,“MadonnadelSoccorso”Hospital,SanBenedettodelTronto,Italye-mail:walter.siquini@sanita.marche.itR.Ridolfo(通訊作者)DivisionofGeneralSurgery,SenigalliaGeneralHospital,Senigallia,Italye-mail:raffaella.ridolfo@email.itE.Feliciotti...[繼續(xù)閱讀]

    圖2-18術者識別大網(wǎng)膜和橫結腸系膜前葉的融合處,自右側向左側分離,自橫結腸完全游離大網(wǎng)膜,進入小網(wǎng)膜囊,顯露胃后壁、胰腺被膜、胃網(wǎng)膜右動脈、胃網(wǎng)膜右靜脈、十二指腸球部及降部。如此可將大網(wǎng)膜連同胃組織整體切除。圖...[繼續(xù)閱讀]