摘要
目的探讨脐内2 cm小切口单孔腹腔镜胃袖状切除术(laparoscopic sleeve gastrectomy,LSG)的安全性、可行性,并总结手术经验。方法回顾性分析2017年5月~2018年7月于我中心行脐内2 cm小切口单孔LSG的8例肥胖患者的临床资料及随访结果,男2例,女6例,BMI 29. 4~46. 88,36. 52±10. 96。合并2型糖尿病(type 2 diabetes mellitus,T2DM) 2例。术中均采用克氏针挡肝技术。结果 8例手术均顺利完成,无术中增加戳孔或转为开放。手术时间60~120 min,(98. 7±57. 8) min,术中出血量5~50 ml,术后住院2~4 d。无戳孔感染、脂肪液化、出血、胃漏、脐疝等并发症。术后1~2个月获得随访6例。结论脐内2 cm小切口单孔LSG安全、可行,可以采用克氏针挡肝技术。
Objective To explore the safety and feasibility of single 2 em small-incision inside the belly button laparoseopic sleeve gastreetomy (LSG) and summarize the surgical experience. Methods Clinical data and follow-up results of 8 obese patients (2 males and 6 females) receiving single 2 em small-incision inside the belly button LSG from May 2017 to July 2018 were analyzed retrospectively. Their BMI were 29.4 - 46.88 ( mean, 36.52±10.96). There were 2 cases complicated with type 2 diabetes mellitus (T2DM). During the operation, the technology of fending off the liver by the Kirsehner wire was used. Results The operations were successfully performed in all the 8 patients without increasing the number of incision or turning to open operation. The operation time, bleeding volume, and duration of postoperative stay were 60-120 min (mean, 98.7±57.8 min), 5-50 ml, and 2-4 d, respectively. No complications such as incision infection, fat liquefaction, hemorrhage, gastric leakage, or mnbilieal hernia were observed in all these patients. Postoperative follow-ups for 1 - 2 months were conducted in 6 cases. Conclusion Single 2 cm small- incision leakage inside the belly button LSG is safe and feasible and the technology of fending off the liver by the Kirsehner wire is necessary.
作者
王亮
张璇
李震
桑庆
郑学静
张能维
Wang Liang;Zhang Xuan;Li Zhen(Surgery Centre of Diabetes Mellitus,Ninth Clinical Hospital,Peking University,Beijing 100038,China)
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第11期993-996,1022,共5页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜胃袖状切除术
单孔腹腔镜手术
肥胖症
2型糖尿病
Laparoseopie sleeve gastreetomy
Single-incision laparoseopie surgery
Obesity
Type-2 diabetes mellitus