Nurczyk Kamil, Herbella Fernando A, Patti Marco G
Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
2nd Department of General and Gastrointestinal Surgery, and Surgical Oncology of the Alimentary Tract, Medical University of Lublin, Lublin, Poland.
J Laparoendosc Adv Surg Tech A. 2020 Jun;30(6):623-626. doi: 10.1089/lap.2020.0156. Epub 2020 Apr 20.
In 1994, Wittgrove and Clark first described the laparoscopic technique for the Roux-en-Y gastric bypass. Many techniques have been used over the years, mostly based on the use of linear and circular stapling devices for the two anastomoses-the jejeunojejunostomy and the gastrojejunostomy. In 2000, Dr. Kelvin Higa from Fresno described a different technique, with the performance of a hand-sewn gastrojejunostomy. In this article we do review our technique, which is based on Dr. Higa's initial description. The steps of the operation will be illustrated by intraoperative pictures.
1994年，维特格罗夫和克拉克首次描述了腹腔镜下胃旁路手术技术。多年来人们使用了多种技术，主要是基于使用线性和圆形吻合器进行两个吻合术，即空肠空肠吻合术和胃空肠吻合术。2000年，来自弗雷斯诺的凯尔文·希加医生描述了一种不同的技术，即手工缝合胃空肠吻合术。在本文中，我们的确回顾了我们基于希加医生最初描述的技术。手术步骤将通过术中图片展示。
