Kitano S, Kawanaka H, Tomikawa M, Hirabayashi H, Hashizume M, Sugimachi K
Department of Surgery II, Kyushu University, Fukuoka, Japan.
Surg Endosc. 1994 May;8(5):405-7. doi: 10.1007/BF00642442.
In a 48-year-old Japanese man there was an uncontrollable and recurrent bleeding from a gastric ulcer and laparoscopic surgery was done. Two cannulae were placed in the gastric cavity through the abdominal wall and suture ligation of the bleeding vessel at the posterior wall of the stomach was done under video-visual control with endoscopic guidance. The bleeding ceased, complications were nil, and he remains well. This article reports on surgery done to repair uncontrollable, recurrent bleeding from a gastric ulcer. Two cannulae were placed in the gastric cavity through the abdominal wall and suture of the vessel at the posterior wall of the stomach was done with videovisual control and endoscopic guidance. This approach is concluded to have supplied minimal-access surgery, cost effectiveness, early discharge, less pain, and doctor-patient satisfaction.
一名48岁的日本男性患有胃溃疡，出现无法控制的反复出血，遂进行了腹腔镜手术。通过腹壁在胃腔内放置了两个套管，并在内镜引导下的视频视觉控制下对胃后壁的出血血管进行了缝合结扎。出血停止，无并发症，患者恢复良好。本文报道了针对胃溃疡无法控制的反复出血所进行的手术。通过腹壁在胃腔内放置了两个套管，并在视频视觉控制和内镜引导下对胃后壁的血管进行了缝合。得出的结论是，这种方法提供了微创外科手术、成本效益、早期出院、疼痛减轻以及医患满意度。
