用于胃旁路手术的简易垂直胃囊构建术
Facilitated vertical gastric pouch construction for gastric bypass.
作者信息
Gleysteen J J
机构信息
Department of Surgery, University of Alabama, Birmingham 35233, USA.
出版信息
Obes Surg. 2000 Apr;10(2):174-8. doi: 10.1381/096089200321668622.
BACKGROUND
Efforts to simplify and reduce surgical risk of gastric pouch construction in super obese patients have led to technical changes which are described.
METHODS
Operative technique of vertical gastric pouch construction and hand-sewn Roux gastrojejunostomy are described.
RESULTS
171 patients with average BMI = 55 have undergone gastric bypass with the modified technique, a majority with double stapling of the gastric pouch. Staple-line dehiscence is reduced and operative morbidity is limited.
CONCLUSIONS
Technical changes described have shortened operative time, reduced intraoperative frustrations, and produced limited postoperative morbidity.
背景
为简化超级肥胖患者胃囊构建手术并降低手术风险所做的努力带来了一些技术变革，现对此进行描述。
方法
描述了垂直胃囊构建及手工缝合的 Roux 式胃空肠吻合术的手术技术。
结果
171 例平均体重指数（BMI）为 55 的患者接受了采用改良技术的胃旁路手术，大多数患者胃囊采用双重吻合器吻合。吻合口漏减少，手术并发症有限。
结论
所描述的技术变革缩短了手术时间，减少了术中的困扰，并使术后并发症有限。
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