Duh Q Y, Way L W
Department of Surgery, University of California, San Francisco.
Arch Surg. 1993 Jan;128(1):105-8. doi: 10.1001/archsurg.1993.01420130117018.
We developed a new technique for performing laparoscopic jejunostomies using T-fasteners to secure the jejunum to the abdominal wall. The proximal jejunum is identified with laparoscopy. Four T-fasteners are introduced percutaneously into the jejunal lumen for retraction, and an 8F catheter is inserted through a peel-away introducer via a J-wire. The jejunum is drawn up against the abdominal wall by pulling on the T-fasteners. Tube placement is checked with laparoscopy and roentgenography. We performed laparoscopic jejunostomies in five patients using this method, and the results were excellent. Jejunostomies can be performed safely, easily, and reliably this way.
我们开发了一种新技术，使用T型钉将空肠固定于腹壁来进行腹腔镜空肠造口术。通过腹腔镜识别空肠近端。经皮将四个T型钉插入空肠腔用于牵拉，通过J型导丝经可剥离套管插入一根8F导管。通过牵拉T型钉将空肠向上拉至腹壁。通过腹腔镜和X线摄影检查导管放置情况。我们使用这种方法为五名患者实施了腹腔镜空肠造口术，结果非常好。通过这种方式可以安全、轻松且可靠地进行空肠造口术。
