Staley C A, Miller M, King T J, Clem M, Ota D M
Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, Houston.
Surg Laparosc Endosc. 1994 Jun;4(3):192-5.
Our goal in this study was to assess the feasibility and safety of performing an intracorporeal laparoscopic jejunal harvest. The initial technique was developed and refined in a pig and then a dog model. In the animal studies, careful dissection of the jejunal flap with its feeding vessel was accomplished along with an intracorporeal anastomosis. The laparoscopic dissection was facilitated by temporarily anchoring the jejunal flap to the anterior abdominal wall and transilluminating the mesentery. We present the first case report of a patient who underwent a laparoscopic jejunal harvest, intracorporeal small bowel anastomosis, and a microvascular anastomosis in the neck for reconstruction of the laryngopharynx.
我们在本研究中的目标是评估进行体内腹腔镜空肠切取术的可行性和安全性。最初的技术在猪模型中开发并完善，之后又在犬模型中进行了改进。在动物研究中，连同体内吻合术一起，对带有供血血管的空肠瓣进行了仔细解剖。通过将空肠瓣临时固定在前腹壁并对肠系膜进行透照，便于进行腹腔镜解剖。我们呈现了首例患者的病例报告，该患者接受了腹腔镜空肠切取术、体内小肠吻合术以及颈部微血管吻合术，用于喉咽重建。
