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2-1聚維酮碘(碘過敏者使用苯扎氯銨)消毒2遍。上腹正中切口起自劍突,下達肚臍之下,該切口適用于正常體形和體重的患者,可順利完成全胃切除術和胃次全切除術。圖2-2為降低手術部位感染風險,用浸蘸聚維酮碘(碘過敏者使用苯扎氯...[繼續(xù)閱讀]

    R.Ridolfo(通訊作者)DivisionofGeneralSurgery,SenigalliaGeneralHospital,Senigallia,Italye-mail:raffaella.ridolfo@email.itE.FeliciottiDepartmentofSurgery,“OspedaliRiuniti”UniversityHospital,Ancona,Italye-mail:feliciotti@live.itP.StortoniDivisionofGeneralSurgery,...[繼續(xù)閱讀]

    圖2-6如未見大網膜或腹膜癌結節(jié),結腸系膜上方間隙有游離腹水者,可抽取腹水行術中細胞學檢查;否則應行腹腔灌洗,用大約100mL生理鹽水沖洗腫瘤浸潤胃壁部分,然后收集沖洗液,行術中細胞學檢查。圖2-7局部進展期胃癌大范圍侵犯胃小...[繼續(xù)閱讀]

    [1]NakajimaT.GastriccancertreatmentguidelinesinJapan[J].GastricCancer,2002,5:1-5.[2]JapaneseGastricCancerAssociation.Japaneseclassificationofgastriccarcinoma[J].3rdEnglishedition.GastricCancer,2011.doi:10.1007/s10120-011-0041-5.[3]JapaneseGastricCancerAss...[繼續(xù)閱讀]

    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2-25游離胃右側血管。圖2-26圖2-25示意圖。...[繼續(xù)閱讀]

    圖6-1取劍突至肚臍正中切口。圖6-2游離大網膜后,采用Kocher方法松解十二指腸,以確保管狀胃吻合時無張力。圖6-3使用射頻刀(LigaSureTM)離斷胃短血管,完全游離胃大彎。圖6-4腹段食管游離并懸吊,切斷胃左動脈,并清掃No.7組淋巴結。圖6...[繼續(xù)閱讀]

    圖6-38經第五肋間行右側開胸,進入胸腔。圖6-39打開縱隔胸膜,游離食管,血管吊帶予以懸吊。圖6-40游離食管達奇靜脈水平。圖6-41切斷、結扎奇靜脈。圖6-42圖6-41示意圖。圖6-43解剖上胸段食管,行2D擴大淋巴結清掃術。圖6-44在奇靜脈口側...[繼續(xù)閱讀]

    G.Cutini·P.ColettaDivisionofGeneralSurgery,“VillaIgea”PrivateHospital,ViaMaggini,Ancona60100,Italye-mail:giorgiocutini@virgilio.it;pietro_col@hotmail.comF.Falsetti(通訊作者)DivisionofGeneralSurgery,JesiHospital,Jesi,Italye-mail:francesco.falsetti@libero.itV.C...[繼續(xù)閱讀]