胃空肠吻合术的手术步骤是怎样的 孟德斌 山西省肿瘤医院 скачать в хорошем качестве

胃空肠吻合术的手术步骤是怎样的 孟德斌 山西省肿瘤医院

胃空肠吻合术的手术步骤是怎样的 孟德斌 山西省肿瘤医院 第一个就是手术患者们一定要探查，一个是探查局部肿瘤的情况，再一个就是远端必须保证吻合口远端的肠道没有梗阻的问题，这样才能手术。第二个的话就是手术操作，手术操作一般我们选择，距离小肠起始部的15到20公分的小肠，把小肠打开然后和胃壁，胃壁我们一般选择，我们选择在胃的下部低位，选择一块正常的胃壁和小肠系膜对侧，小肠进行一个吻合。在吻合过程中有几种，一种是手工吻合，还有一种是器械吻合，不管用什么方法，都要注意吻合口的。因为胃壁往往是水肿的，要注意吻合的方法方式，缝针的针距、边距，再一个就是输入绊，输出绊的角度，以防以免发生术后的这种瘘梗阻的问题。 What is the procedure of gastrojejunostomy The first is that surgical patients must explore, One is to explore the local tumor, The other is that the distal end of the anastomosis must ensure that there is no obstruction of the intestinal tract, That's how it works. The second is the operation, We usually choose the operation, 15 to 20 cm from the beginning of the small intestine, Open the small intestine and the stomach wall, We usually choose the gastric wall, We chose the lower part of the stomach, Select a normal gastric wall and the opposite side of the mesentery, The small intestine is anastomosed. There are several types of anastomosis, One is manual fit, There is also a device fit, In any way, Pay attention to the anastomosis. Because the stomach wall is often edematous, We should pay attention to the way of coincidence, The stitch distance and edge distance of the sewing needle, Another is the input trip, Angle of output trip, In order to prevent postoperative fistula obstruction.