Viani M P, Poggi R V, Pinto A, Fusai G, Andreani S M, Marvotti R A
Department of Surgery, Ospedale di Abbiategrasso, Milano, Italy.
J Laparoendosc Surg. 1995 Aug;5(4):245-9. doi: 10.1089/lps.1995.5.245.
Percutaneous endoscopic gastrostomy (PEG) is the procedure of choice in the nutritional management of patients requiring gastrostomies. Laparoscopic gastrostomy is usually performed when PEG is contraindicated, for example, in patients with esophageal strictures, large gastric tumors, or a history of multiple abdominal surgery. We report herein a case of gasless laparoscopic gastrostomy performed for carcinoma associated with a severe respiratory distress syndrome in a malnourished patient with a tight esophageal stricture. The gasless technique uses the Laparolift System (Laparolift, Origin Medsystem, Inc.), a device composed of a fan-shaped retractor and a mechanical lifting arm that produces an abdominal wall distention resembling a truncated pyramid. Gasless laparoscopy was a safe alternative approach to CO2 pneumoperitoneum in this patient.
经皮内镜下胃造口术（PEG）是需要进行胃造口术患者营养管理的首选方法。当PEG禁忌时，通常进行腹腔镜胃造口术，例如，在食管狭窄、巨大胃肿瘤或有多次腹部手术史的患者中。我们在此报告一例为一名患有严重呼吸窘迫综合征且食管狭窄严重的营养不良癌症患者进行的无气腹腔镜胃造口术。无气技术使用Laparolift系统（Laparolift，Origin Medsystem公司），该设备由一个扇形牵开器和一个机械提升臂组成，可产生类似截顶金字塔的腹壁扩张。在该患者中，无气腹腔镜检查是替代二氧化碳气腹的一种安全方法。
