腹腔镜袖状胃切除术后胃漏的研究进展及诊治体会

Research progress and experience of diagnosis and treatment of gastric leakage after laparoscopic sleeve gastrectomy

腹腔镜袖状胃切除术(LSG)因具有相对简单的流程和确切的效果,已成为治疗肥胖症和2型糖尿病等代谢性疾病的重要手术方式。随着临床该术式的广泛开展,常见的胃漏、出血和狭窄梗阻等术后并发症被相继报道。胃漏一旦发生,如不及时诊断并采取迅速有效的治疗措施,往往导致住院时间延长、病情迁延不愈、治疗费用增加,甚至出现脓毒血症和多器官功能衰竭,导致患者死亡。笔者结合目前LSG术后胃漏的研究进展和团队实践经验,总结LSG术后胃漏的诊疗措施及治疗策略,希望为临床诊治提供一定的参考价值。

Laparoscopic sleeve gastrectomy (LSG) is an crucial surgical procedure for treating metabolic diseases such as obesity and type 2 diabetes mellitus (T2DM) due to relatively simple procedure and definite effect. But, increasing complications, including gastric leakage, hemorrhage andstenosis, have been reported with widespread application. Especially the gastric leakage, unseasonal diagnosed and invalid treatment frequently results prolonged-hospital, protracted course of disease, more hospitalization expenses, or even sepsis, multiple systemic organ failure (MSOF) and death. Hereon, author summarized the diagnosis and treatment of gastric leakage after LSG derived from present research and team experience, and hope to provide worthy diagnosis and treatment.