Barski Krzysztof, Binda Artur, Kudlicka Emilia, Jaworski Paweł, Tarnowski Wiesław
Department of General, Oncological and Digestive Tract Surgery, Medical Centre of Postgraduate Education, Orlowski Hospital, Warsaw, Poland.
Wideochir Inne Tech Maloinwazyjne. 2018 Mar;13(1):122-127. doi: 10.5114/wiitm.2018.73362. Epub 2018 Feb 7.
Despite the growing experience of bariatric surgeons in performing laparoscopic sleeve gastrectomy, the number of complications involving staple line leaks remains constant. Hence a solution to avoid such complications is still sought. A defect of the staple line may be the consequence of an inappropriate choice of staple size in relation to gastric wall thickness. Due to the variable nature of gastric wall thickness, the choice of proper staple height is not obvious. In the few studies in which gastric wall thickness was measured, it was observed to decrease gradually from the antrum to the fundus. However, the authors are divided on the issue of whether gender and body mass index influence gastric wall thickness. The question whether there are other perioperative factors that would allow gastric wall thickness to be predicted remains unanswered.
尽管减重外科医生在进行腹腔镜袖状胃切除术方面的经验日益丰富，但涉及吻合钉线渗漏的并发症数量仍保持不变。因此，仍在寻求避免此类并发症的解决方案。吻合钉线的缺陷可能是由于相对于胃壁厚度选择了不合适的吻合钉尺寸所致。由于胃壁厚度的多变性，选择合适的吻合钉高度并非易事。在少数测量胃壁厚度的研究中，观察到胃壁厚度从胃窦到胃底逐渐减小。然而，在性别和体重指数是否影响胃壁厚度这一问题上，作者们存在分歧。是否存在其他围手术期因素能够预测胃壁厚度这一问题仍未得到解答。
