[1]宫轲①　 Michel Gagner　 Sergio Bardaro　 Kazuk Ueda.胃小囊网片包裹术治疗肥胖症的可行性实验研究[J].中国微创外科杂志,2006,06(6):471-473.
　Gong Ke,Gagner Michel*,Bardaro Sergio*,et al.Mesh wrapping of gastric pouch in obesity treatm ent: An experim ental study[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):471-473.
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胃小囊网片包裹术治疗肥胖症的可行性实验研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
471-473
栏目:
实验研究
出版日期:
2006-06-20

文章信息/Info

Title:
Mesh wrapping of gastric pouch in obesity treatm ent: An experim ental study　
作者:
宫轲①　 Michel Gagner　 Sergio Bardaro　 Kazuk Ueda
北京世纪坛医院外科,北京,100038
Author(s):
Gong Ke;  Gagner Michel*;  Bardaro Sergio*;  et al.*
Department of Surgery, New York Presbyterian Hospital, WeillMedical College of Cornell University, NY 10021, USA
关键词:
肥胖; Roux-en-Y胃空肠吻合术; 胃小囊扩张; 减肥外科; 网片
Keywords:
Obesity; 　Roux-en-Y gastric bypass; 　Gastric pouch dilatation; 　Bariatric surgery; 　Mesh
分类号:
R656.6;R589.2?
文献标志码:
A
摘要:
目的探讨聚四氟乙烯(polytetrafluoroethylene,PTFE)网片包裹胃小囊,预防胃小囊扩张,治疗肥胖症的可行性. 方法在3例冰鲜(死亡<72 h)尸体上实施此手术.男2例,女1例,年龄77、86、93岁,体重48、115、167 kg,BMI 19.7、33.4、45.3 kg/m2.做20～30 ml胃小囊,而后行胃空肠吻合术,再分离空肠系膜.PTFE网片穿过空肠系膜,粗面贴胃小囊壁,包裹胃小囊.最后固定网片,缝合空肠系膜. 结果 3例手术顺利,手术时间60、80、85 min, 无手术副损伤. 结论网片包裹胃小囊,手术操作不十分困难,手术时可以用网片将胃小囊、胃空肠吻合口及空肠残端完全包裹.这样可能会有效地预防胃小囊的扩张.
Abstract:
Objective　To describe the feasibility of surgicalwrapping ofgastric pouchwith a polytetrafluoroethylene (PTFE) mesh for preventing the dilatation of the gastric pouch in obesity treatment.　M ethods　The procedure was performed in 3 fresh- frozen cadavers (<72 hours afterdeath), including 2 male and 1 female cadavers, with age of77, 86, and 93 years old, bodyweight of48, 115, and 167 kg, and bodymass index (BMI) of19. 7, 33. 4, and 45. 3 kg/m2, respectively. A 20~30 mlgastric pouchwas made. Then gastrojejunostomy was carried out. After the gastrojejunal anastomosis was completed, the jejunal mesentery was dissected. The gastric pouchwaswrapped with a PTFE mesh byway of an avascularwindow of the jejunalmesentery proximal to the anastomosis, with the rough side against the pouch. Afterwards, a linear staplerwas used to fix the mesh and the mesentery window was closed with 3-0 silk sutures.　Results　All the procedureswere accomplished smoothly. The operation timewas 60, 80, and 85 min, respectively. No tissues or organs were damaged during the procedure.　Conclusions　Surgicalwrapping of gastric pouch is simple to perform. During the procedure, the gastric pouch, gastrojejunal anastomosis, and the stump of the jejunum are thoroughly wrapped within themesh, which effectively avoid the dilatation of the gastric pouch

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备注/Memo

备注/Memo:
①（北京世纪坛医院外科,北京,100038）
更新日期/Last Update: 2014-01-27