[用于腹腔镜可调节胃束带术简化端口植入的端口吻合器]
[Port stapling for simplified port implantation in laparoscopic adjustable gastric banding].
作者信息
Türler A, Standop J, Schäfer N, Decker P, Hirner A, Decker D
机构信息
Klinik und Poliklinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, Germany.
出版信息
Chirurg. 2007 Sep;78(9):828-32. doi: 10.1007/s00104-007-1349-x.
BACKGROUND
The purpose of this study was to evaluate the applicability of a port stapling device to simplify and improve port implantation in laparoscopic adjustable gastric banding (LAGB).
METHODS
From November 2005 to September 2006, a prospective study was conducted on 23 consecutive patients who underwent LAGB with Swedish adjustable gastric banding. Patients were randomized to either conventional titanium-port implantation or port stapling using the "Velocity" device.
RESULTS
No differences in age, body weight, body mass index, fascia depth or incision length were reported between the groups. Port implantation time was significantly less using port stapling (90+/-24 s) compared to conventional port implantation (521+/-138 s). Port related complaints postoperatively and at follow-up were equal in both groups.
CONCLUSIONS
Port stapling is an excellent tool to facilitate port implantation, particularly in massively obese patients with a thick abdominal wall.
背景
本研究的目的是评估一种端口吻合器在简化和改进腹腔镜可调节胃束带术（LAGB）中端口植入方面的适用性。
方法
2005年11月至2006年9月，对23例连续接受瑞典可调节胃束带术的LAGB患者进行了一项前瞻性研究。患者被随机分为传统钛端口植入组或使用“Velocity”装置进行端口吻合组。
结果
两组在年龄、体重、体重指数、筋膜深度或切口长度方面均无差异。与传统端口植入（521±138秒）相比，使用端口吻合术的端口植入时间明显更短（90±24秒）。两组术后及随访时与端口相关的主诉相同。
结论
端口吻合是促进端口植入的一种优秀工具，尤其适用于腹壁增厚的极度肥胖患者。
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