单通道胃造口术（SAG）无需进行内镜检查或腹腔镜检查：一种在局部麻醉下的简单方法。
Single-access gastrostomy (SAG) dispenses endoscopy or laparoscopy: a simple method under local anesthesia.
作者信息
Zorron Ricardo, Cazarim Davi, Flores Daniel, Fontes Meyer Carlos André, de Castro Leonardo Machado, Kanaan Eduardo
机构信息
University Hospital Teresopolis HCTCO- FESO, Rio de Janeiro, Brazil.
出版信息
Surg Innov. 2009 Dec;16(4):337-42. doi: 10.1177/1553350609351694. Epub 2009 Dec 22.
OBJECTIVE
Gastrostomy for feeding or desobstructive purposes is often performed transendoscopically. However, as endoscopy specialists and instruments are not widely available in community hospitals in Brazil, an alternative method was developed at the authors' institution. Surgical single-access gastrostomy (SAG), performed under local anesthesia and requiring no endoscopic guidance is described.
METHODS
The authors used the SAG technique on 19 patients eligible for gastrostomy, and the data were prospectively documented. After local anesthesia and a 1-cm incision, the gastric wall was localized under direct vision. Purse string sutures were placed to work as a fixed valve to rectus sheath.
RESULTS
SAG was feasible in all patients. Minor complications occurred in 3 patients. The mean operative time was 44.2 minutes, and the mean institution of gastrostomy feeding was 27.8 hours.
CONCLUSION
SAG may dispense with the use of endoscopy and laparoscopy, providing a feasible, reproducible, and effective feeding gastrostomy in developing countries where alternative methods are not available.
目的
胃造口术用于喂养或解除梗阻目的时通常经内镜进行。然而，由于巴西社区医院内镜专家和设备并不普遍，作者所在机构开发了一种替代方法。本文描述了在局部麻醉下进行且无需内镜引导的单通道手术胃造口术（SAG）。
方法
作者对19例符合胃造口术条件的患者采用SAG技术，并对数据进行前瞻性记录。在局部麻醉和做一个1厘米的切口后，在直视下确定胃壁位置。放置荷包缝合线作为腹直肌鞘的固定瓣膜。
结果
所有患者的SAG均可行。3例患者出现轻微并发症。平均手术时间为44.2分钟，开始胃造口喂养的平均时间为27.8小时。
结论
SAG可无需使用内镜和腹腔镜，在没有其他替代方法的发展中国家提供一种可行、可重复且有效的喂养胃造口术。
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