Nguyen Ninh T, Tran Cam-Ly, Gelfand Dmitri V, Varela Esteban, Chang Ken, Stamos Michael, Wilson Samuel E
Department of Surgery, University of California Irvine Medical Center, Orange, California 92868, USA.
Ann Thorac Surg. 2006 Nov;82(5):1910-3. doi: 10.1016/j.athoracsur.2006.02.065.
Roux-en-Y gastric bypass is a commonly performed procedure for the treatment of morbid obesity. Esophagectomy in patients with a history of Roux-en-Y gastric bypass presents a difficult technical challenge for the surgeon. In this report we describe a technique of minimally invasive Ivor Lewis esophagogastrectomy in a patient who had had an open Roux-en-Y gastric bypass. Minimally invasive esophagectomy was performed with resection of the Roux limb using the gastric remnant as the conduit for gastrointestinal reconstruction.
Roux-en-Y胃旁路术是治疗病态肥胖症的一种常用手术。有Roux-en-Y胃旁路术病史的患者行食管切除术对外科医生来说是一项具有挑战性的技术难题。在本报告中，我们描述了一名曾接受过开放性Roux-en-Y胃旁路术的患者行微创Ivor Lewis食管胃切除术的技术。采用胃残端作为胃肠道重建的管道，切除Roux肠袢，进行了微创食管切除术。
