Akutsu Yasunori, Hanari Naoyuki, Kono Tsuguaki, Uesato Masaya, Hoshino Isamu, Murakami Kentaro, Natsume Toshiyuki, Isozaki Yuka, Akanuma Naoki, Toyozumi Takeshi, Suito Hiroshi, Matsubara Hisahiro
Department of Frontier Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Int Surg. 2014 Nov-Dec;99(6):846-50. doi: 10.9738/INTSURG-D-13-00177.1.
Short gastric vessel division (SGVD) has been performed as a part of fundoplication for achalasia. However, whether or not SGVD is necessary is still unknown. Forty-six patients with achalasia who underwent a laparoscopic surgery with or without SGVD were analyzed. A questionnaire was administered to assess the postoperative improvement. Regarding improvement of dysphagia and postoperative reflux, there were no significant differences between SGVD (+) group and SGVD (-) group (P = 0.588 and P = 0.686, respectively). Nineteen patients (95%) in the SGVD (+) group and 24 (92%) in the SGVD (-) group answered that the surgery was satisfactory (P = 0.756). In the SGVD (+) group, the pre- and postsurgical body weight increase was +7.3%. In the SGVD (-) group, it was 8.2%. There was no significant difference of body weight increase between the 2 groups (P = 0.354). SGVD is not always required in laparoscopic surgery for achalasia.
短胃血管离断术（SGVD）已作为贲门失弛缓症胃底折叠术的一部分实施。然而，SGVD是否必要仍不清楚。分析了46例行腹腔镜手术（伴或不伴SGVD）的贲门失弛缓症患者。通过问卷调查评估术后改善情况。关于吞咽困难的改善和术后反流，SGVD（+）组和SGVD（-）组之间无显著差异（分别为P = 0.588和P = 0.686）。SGVD（+）组中的19例患者（95%）和SGVD（-）组中的24例患者（92%）回答手术令人满意（P = 0.756）。SGVD（+）组术前和术后体重增加7.3%。SGVD（-）组为8.2%。两组间体重增加无显著差异（P = 0.354）。贲门失弛缓症的腹腔镜手术并不总是需要SGVD。
