Boubnova Julia, Hery Geraldine, Ughetto Fabrice, Charpentier Arnaud, Guys Jean-Michel, de Lagausie Pascal
Pediatric Surgery Department, Timone-Enfants, 13005 Marseille, France.
J Pediatr Surg. 2009 Oct;44(10):e1-3. doi: 10.1016/j.jpedsurg.2009.06.020.
The total esophagogastric dissociation (Bianchi's procedure) is used to control the severe gastroesophageal reflux in patients after failure of the fundoplication techniques. The laparoscopic approach can be usefully performed in patients with impaired respiratory function. We report here 2 patients in whom the total esophagogastric dissociation has been entirely performed by laparoscopy. The laparoscopic examination of the proximal esojejunal anastomosis is made feasible using an intestinal clamp placed to avoid the esophageal retraction up into the posterior mediastinum. The principal complication after this surgery is the risk of internal hernia.
全食管胃离断术（比安奇手术）用于在胃底折叠术失败后控制患者严重的胃食管反流。腹腔镜手术方法可有效地应用于呼吸功能受损的患者。我们在此报告2例通过腹腔镜完全实施全食管胃离断术的患者。使用肠钳避免食管回缩至后纵隔，从而使近端食管空肠吻合术的腹腔镜检查成为可能。该手术后的主要并发症是内疝风险。
