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The Application of Preservation of the Ring of Pylorus to the Reconstruction of the Digestive Tract by Interposition of Jejunum Following Total Gastrectomy

目的探討胃底賁門癌患者行全胃切除術后消化道的重建方式。 方法總結我院1999年3月至2002年4月間采用經腹全胃切除保留幽門環間置空腸重建消化道手術的16例胃底賁門癌患者的臨床資料。 結果無一例手術死亡， 無吻合口漏及狹窄， 全組患者均治愈出院。 術后半年每餐進食200～300 g， 每日3～4次， 其中蛋白質1 g/（kg·d）， 總熱量為2 300～3 000 kcal，餐后無胸骨后灼痛，無膽汁返流現象及排空障礙。結論嚴格掌握手術適應證，保留幽門環間置空腸重建消化道能起到較好的效果。

充氣式肛管的臨床應用

CT Diagnosis and Treatment of Retroperitoneal Cystic Lymphangioma(Report of 5 Cases)

目的 探討腹膜后囊性淋巴管瘤的CT診斷價值和治療方法。方法 回顧性分析2004年6月至2010年5月期間我院收治的5例經病理檢查證實的腹膜后囊性淋巴管瘤患者的臨床表現、CT影像特征、手術治療及術后隨訪的資料。結果 5例患者術前CT均診斷為囊性淋巴管瘤，均行手術完整切除腫瘤，術后病理結果均證實為囊性淋巴管瘤。術后7 d順利出院，隨訪3個月～6年均無復發。結論 CT對腹膜后囊性淋巴管瘤的診斷具有重要意義，手術完整切除整個囊壁是治療及預防術后復發的最好方法。

2011型背式多頭胸帶的臨床應用

巨大腹壁間質瘤1例報道

Solve Several Difficult Problems in General Surgery Teaching by Dialectics

充氣式加壓繃帶的臨床應用

Larparoscopy Combined with Choledochoscopy for Common BileDuct Exploration in Treatment Bile Duct Calculus

Influence of Jejunal Interposition Pouch Reconstruction on Nutritional Condition of Patients after Total Gastrectomy

Objective To evaluate whether jejunal interposition pouch (JIP) reconstruction is an ideal procedure of digestive tract reconstruction after total gastrectomy. Methods Ninetyfour patients after total gastrectomy had randomly divided into two groups, JIP group 42 cases and RouxenY pouch (RYP) group 52 cases. The gastrointestinal function improvement in body weight and nutritional parameters (serum albumin, hemoglobin level, and serum protein) were compared 1 year after surgery for the two groups. Results The nutritional condition of JIP group and RYP group after operation had improved (P＜0.01); and the condition of JIP group with fewer symptom problems demonstrated much more better than standard RYP group （P＜0.01）. Conclusion JIP that could obtain partly compensatory function after total gastrectomy is an ideal reconstruction.

Application of Linear Cutting Stapler in Subtotal Gastrectomy

目的 探討胃大部切除術中應用直線型切割縫合器的臨床經驗及優點。方法 總結直線型切割縫合器的使用方法，并比較分析傳統胃大部切除術和采用直線型切割縫合器行胃大部切除術的手術時間和術后并發癥。結果 使用直線型切割縫合器使手術時間縮短60～120 min (P=0.000)，術后出血并發癥明顯減少(P=0.024)。結論 應用直線型切割縫合器行胃大部切除術可以縮短手術時間和減少術后出血的發生。