Department of Bariatric Surgery, Torrecárdenas Hospital, Almería, Spain.
Obes Surg. 2012 Jan;22(1):182-7. doi: 10.1007/s11695-011-0492-0.
Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the more controversial aspects of the surgical technique: the size of the bougie, the beginning of the distal section, the section shape at the gastroesophageal junction, the necessity and manner of reinforcing the staple line, and the routine use of intraoperative leak testing.
腹腔镜袖状胃切除术是一种最近发展起来的治疗病态肥胖的技术。由于它是一种简单的手术，近年来许多减重外科医生采用了这种手术，并取得了良好的效果。然而，不同手术团队之间仍然没有标准的操作流程。我们将讨论手术技术中更具争议性的方面：探条的大小、远端部分的起始、胃食管交界处的部分形状、加固吻合线的必要性和方式，以及术中渗漏测试的常规使用。
