Ali Mohamed R, Sugerman Harvey J, DeMaria Eric J
Department of Surgery, Virginia Commonwealth University, Richmond, VA 23298, USA.
Semin Laparosc Surg. 2002 Jun;9(2):94-104.
Morbid obesity represents a challenge to healthcare as the underlying source of numerous risks and significant expenditure. Gastric bypass surgery has been validated as a means of significant and reproducible reduction in weight. In the laparoscopic era, the minimally invasive approach has been applied to this procedure with promising results. In our technique, we divide the stomach to create a small gastric pouch drained by a retrocolic, retrogastric Roux-en-Y alimentary jejunal limb. The gastrojejunostomy is performed in 2 layers, an inner stapled layer and an outer sutured layer. We, like other groups, have found that laparoscopic gastric bypass provides similar efficacy to open gastric bypass, but offers improved patient acceptance, quality of life, and significantly less wound complications.
病态肥胖对医疗保健构成挑战，因为它是众多风险和巨额费用的潜在根源。胃旁路手术已被证实是一种能显著且可重复减轻体重的方法。在腹腔镜时代，这种微创方法已应用于该手术，效果良好。在我们的技术中，我们将胃进行分割，形成一个小胃囊，由经结肠后、经胃后Roux-en-Y空肠营养支引流。胃空肠吻合术分两层进行，内层为吻合器吻合层，外层为缝合层。我们和其他团队一样发现，腹腔镜胃旁路手术与开腹胃旁路手术疗效相似，但患者接受度更高，生活质量更好，且伤口并发症显著减少。
