Forestieri P, Mosella G, De Luca L, Mozzillo N, Petrella G, Mazzeo F
Minerva Med. 1978 Nov 17;69(56):3859-64.
The criteria applicable to the selection of the approach route in the surgical management of essential gross obesity by means of a jejunal-ileal by-pass are discussed. Median vertical and transverse incision are compared in the light of early and late hypoxaemia in the immediate postoperative period; postoperative acidosis and alkalosis; rapidity; exposure; extendibility; tightness; postoperative pain; cosmetic results. A preference for the vertical approach is both stated and justified.
本文讨论了通过空肠-回肠旁路手术治疗重度肥胖症时，手术入路选择的适用标准。根据术后早期和晚期低氧血症、术后酸中毒和碱中毒、手术速度、暴露程度、可扩展性、紧密性、术后疼痛及美容效果，对正中垂直切口和横向切口进行了比较。明确表示并论证了更倾向于采用垂直入路。
