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腹腔镜下维泽尔空肠造口术。

Laparoscopic Witzel jejunostomy.

作者信息

Lotti Marco, Capponi Michela Giulii, Ferrari Denise, Carrara Giulia, Campanati Luca, Lucianetti Alessandro

机构信息

Advanced Surgical Oncology Unit, Department of General Surgery 1, Papa Giovanni XXIII Hospital, Bergamo, Italy.

Department of General Surgery 1, Papa Giovanni XXIII Hospital, Bergamo, Italy.

出版信息

J Minim Access Surg. 2021 Jan-Mar;17(1):127-130. doi: 10.4103/jmas.JMAS_248_19.

DOI:10.4103/jmas.JMAS_248_19
PMID:33353899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7945639/
Abstract

The placement of a feeding jejunostomy can be indicated in malnourished patients with gastric and oesophagogastric junction cancer to allow for enteral nutritional support. In these patients, the jejunostomy tube can be suitably placed at the time of staging laparoscopy. Several techniques of laparoscopic jejunostomy (LJ) have been described, yet the Witzel approach remains neglected, due to the perceived difficulty of suturing the bowel around the tube and securing them to the abdominal wall. Here, we describe a novel technique for LJ, using a single barbed suture for securing the bowel and tunnelling the jejunostomy catheter according to the Witzel approach.

摘要

对于患有胃癌和食管胃交界癌的营养不良患者，可通过放置空肠造口管来提供肠内营养支持。在这些患者中，可在分期腹腔镜检查时合适地放置空肠造口管。虽然已经描述了几种腹腔镜空肠造口术（LJ）技术，但由于认为在管子周围缝合肠管并将其固定到腹壁有困难，Witzel法仍然被忽视。在此，我们描述一种新的LJ技术，即使用单根倒刺缝线固定肠管，并根据Witzel法将空肠造口导管穿出隧道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/3e375bf200e2/JMAS-17-127-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/ed4186f7f055/JMAS-17-127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/444cb228d303/JMAS-17-127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/9384a52a94c0/JMAS-17-127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/553042c2bf98/JMAS-17-127-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/5cc315f568da/JMAS-17-127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/f3951a16ccab/JMAS-17-127-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/3e375bf200e2/JMAS-17-127-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/ed4186f7f055/JMAS-17-127-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/444cb228d303/JMAS-17-127-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/9384a52a94c0/JMAS-17-127-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/553042c2bf98/JMAS-17-127-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/5cc315f568da/JMAS-17-127-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/f3951a16ccab/JMAS-17-127-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ef/7945639/3e375bf200e2/JMAS-17-127-g007.jpg

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Feasibility of laparoscopic Witzel feeding jejunostomy.腹腔镜下维泽尔空肠造口术的可行性
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本文引用的文献

1
Direct laparoscopic feeding jejunostomy.
J Visc Surg. 2019 Oct;156(5):433-439. doi: 10.1016/j.jviscsurg.2019.07.005. Epub 2019 Oct 4.
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Jejunostomy-technique and controversies.空肠造口术——技术与争议
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Laparoscopic T-tube feeding jejunostomy as an adjunct to staging laparoscopy for upper gastrointestinal malignancies: the technique and review of outcomes.
腹腔镜T管喂养空肠造口术作为上消化道恶性肿瘤分期腹腔镜检查的辅助手段：技术及结果回顾
BMC Surg. 2017 Mar 20;17(1):25. doi: 10.1186/s12893-017-0221-2.
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Laparoscopic percutaneous jejunostomy with intracorporeal V-Loc jejunopexy in esophageal cancer.腹腔镜下经皮空肠造口术联合体内V-Loc空肠固定术治疗食管癌
Surg Endosc. 2017 Jun;31(6):2678-2686. doi: 10.1007/s00464-016-5285-z. Epub 2016 Oct 17.
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Clinical Burden of Laparoscopic Feeding Jejunostomy Tubes.腹腔镜喂养空肠造口管的临床负担
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A new modified technique of laparoscopic needle catheter jejunostomy: a 2-year follow-up study.一种新型改良的腹腔镜穿刺导管空肠造口术：一项为期2年的随访研究。
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Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies.用于梗阻性上消化道恶性肿瘤的腹腔镜空肠造口术
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Autoadjustable sutures and modified seldinger technique applied to laparoscopic jejunostomy.自动调节缝线及改良塞丁格技术在腹腔镜空肠造口术中的应用
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