三套管腹腔镜 Roux-en-Y 胃旁路术：通往单切口腹腔镜手术的新途径。
Three trocar laparoscopic Roux-en-y gastric bypass: a novel technique en route to the single-incision laparoscopic approach.
机构信息
Michigan State University, Kalamazoo Center for Medical Studies, 1000 Oakland Drive, Kalamazoo, MI 49008, USA.
出版信息
Int J Surg. 2010;8(2):131-4. doi: 10.1016/j.ijsu.2009.11.011. Epub 2009 Dec 11.
BACKGROUND
Laparoscopic Roux-en-Y gastric bypass is the gold standard bariatric procedure. Typically, the procedure necessitates five to seven small skin incisions for trocar placement. The senior author (AA Saber) has developed a three-trocar approach for laparoscopic Roux-en-Y gastric bypass.
METHODS
Sixteen patients underwent triple-incision laparoscopic Roux-en-Y gastric bypass between May 2009 and August 2009. The same surgeon performed all surgical interventions. The umbilicus was the main point of entry for all patients and the same operative technique and perioperative protocol were used in all patients.
RESULTS
A total of sixteen triple-incision laparoscopic Roux-en-Y gastric bypasses were performed. The procedures were successfully performed in all patients. Mean operating time was 145.4 min. None of the patients required conversion to an open procedure. There were no mortalities or post-operative technical complications noted during the immediate post-operative period.
CONCLUSION
Three trocar laparoscopic Roux-en-Y gastric bypass is safe, technically feasible and reproducible. This technique may be considered a "precursor" to single-incision laparoscopic Roux-en-Y gastric bypass.
背景
腹腔镜 Roux-en-Y 胃旁路术是肥胖症治疗的金标准。通常，该手术需要在腹部做五到七个小切口以放置 trocar。资深作者（AA Saber）开发了一种三 trocar 方法用于腹腔镜 Roux-en-Y 胃旁路术。
方法
2009 年 5 月至 8 月期间，16 名患者接受了三切口腹腔镜 Roux-en-Y 胃旁路术。所有手术均由同一位外科医生完成。所有患者均采用脐部作为主要手术入路，所有患者均采用相同的手术技术和围手术期方案。
结果
共完成了 16 例三切口腹腔镜 Roux-en-Y 胃旁路术。所有患者均成功完成手术。平均手术时间为 145.4 分钟。没有患者需要转为开放性手术。在术后即刻，没有死亡或出现术后技术并发症。
结论
三 trocar 腹腔镜 Roux-en-Y 胃旁路术是安全、技术可行且可重复的。该技术可被视为单切口腹腔镜 Roux-en-Y 胃旁路术的“前奏”。
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