腹腔镜十二指肠空肠吻合术治疗肠系膜上动脉压迫综合征的临床分析

Clinical analysis of laparoscopic duodenojejunostomy for the treatment of superior mesenteric artery compression syndrome

目的:探讨腹腔镜十二指肠空肠吻合术治疗肠系膜上动脉压迫综合征的安全性及可行性,总结其诊断、手术治疗经验及治疗效果。方法:回顾分析8例腹腔镜下十二指肠空肠吻合术治疗肠系膜上动脉压迫综合征患者的临床资料。结果:本组8例均顺利完成腹腔镜十二指肠空肠吻合术,无一例中转开腹或死亡。手术时间60~137 min,平均(98.6±30.2)min;术后住院10~19 d,平均(14.8±2.7)d;术中出血量50~120 ml,平均(85.6±24.1)ml。术后腹痛、腹胀症状消失,其中1例发生吻合口瘘,经保守治疗痊愈。术后随访0.5~3年,无严重并发症发生。结论:腹腔镜下十二指肠空肠吻合术可作为治疗肠系膜上动脉压迫综合征的手术治疗方法,临床疗效较好。

Objective： To investigate the safety and feasibility of laparoscopic duodenojejunostomy for the treatment of superior mesenteric artery compression syndrome. Methods： The clinical data of 8 patients who underwent laparoscopic duodenojejunostomy for the treatment of superior mesenteric artery compression syndrome were retrospectively analyzed. Results： All patients underwent laparoscopic duodenojejunostomy successfully without conversion to laparotomy or death. The operative time was 60-137 min,with the average of（ 98. 6 ± 30. 2） min. The postoperative hospital stay was 10-19 d,with the average of（ 14. 8 ± 2. 7） d. The intraoperative blood loss was 50-120 ml,with the average of（ 85. 6 ± 24. 1） ml. The symptoms of abdominal pain and abdominal distension disappeared after operation. One anastomotic fistula occurred,and healed after conservative treatment. No severe complications were found during the followup of 0. 5 to 3 years after surgery. Conclusions： Laparoscopic duodenojejunostomy can be used for the treatment of superior mesenteric artery compression syndrome because of the good clinical effect.