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[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.

DOI:10.1007/s00104-007-1349-x
PMID:17565476
Abstract

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.

摘要

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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本文引用的文献

1
Comparison of SAGB QC "classic" titanium port and Velocity port: pilot phase prospective randomized study on perioperative and short-term postoperative implantation outcomes.SAGB QC“经典”钛质端口与Velocity端口的比较:围手术期及术后短期植入结果的试点阶段前瞻性随机研究
Obes Surg. 2006 Jun;16(6):716-20. doi: 10.1381/096089206777346709.
2
A prospective randomized trial of placement of the laparoscopic adjustable gastric band: comparison of the perigastric and pars flaccida pathways.腹腔镜可调节胃束带放置的前瞻性随机试验:胃周途径与松弛部途径的比较
Obes Surg. 2005 Jun-Jul;15(6):820-6. doi: 10.1381/0960892054222858.
3
Port complications following laparoscopic adjustable gastric banding for morbid obesity.
腹腔镜可调节胃束带术治疗病态肥胖后的端口并发症
Obes Surg. 2005 Mar;15(3):361-5. doi: 10.1381/0960892053576604.
4
Obesity surgery: evidence-based guidelines of the European Association for Endoscopic Surgery (EAES).肥胖症手术:欧洲内镜外科学会(EAES)基于证据的指南。
Surg Endosc. 2005 Feb;19(2):200-21. doi: 10.1007/s00464-004-9194-1. Epub 2004 Dec 2.
5
Adjustable silicone gastric banding adverse events reported to the Food and Drug Administration.向美国食品药品监督管理局报告的可调节硅胶胃束带不良事件。
J Long Term Eff Med Implants. 2003;13(6):509-17. doi: 10.1615/jlongtermeffmedimplants.v13.i6.70.
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Optimization of access-port placement for the lap-band system.
Obes Surg. 2003 Dec;13(6):909-12. doi: 10.1381/096089203322618759.
7
Laparoscopic Swedish adjustable gastric banding: a five-year prospective study.腹腔镜瑞典可调节胃束带术:一项为期五年的前瞻性研究。
Obes Surg. 2003 Jun;13(3):404-11. doi: 10.1381/096089203765887741.
8
Port function after laparoscopic adjustable gastric banding for morbid obesity.腹腔镜可调节胃束带术治疗病态肥胖后的端口功能。
Surg Endosc. 2003 Jul;17(7):1068-71. doi: 10.1007/s00464-002-9190-2. Epub 2003 May 6.
9
Injection port complications after gastric banding: incidence, management and prevention.胃束带术后注射端口并发症:发生率、处理及预防
Obes Surg. 2000 Jun;10(3):259-62. doi: 10.1381/096089200321643403.