[1]李索林,于增文,李英超,等.小儿免钉合器腹腔镜胃空肠缝合吻合术[J].中国微创外科杂志,2006,06(12):958-961.
　Li Suolin,Yu Zengwen,Li Yingchao,et al.Laparoscopic sutured gastrojejunostomy without using stapling devices in children[J].Chinese Journal of Minimally Invasive Surgery,2006,06(12):958-961.
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小儿免钉合器腹腔镜胃空肠缝合吻合术()
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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12期
页码:
958-961
栏目:
出版日期:
2006-12-30

文章信息/Info

Title:
Laparoscopic sutured gastrojejunostomy without using stapling devices in children
作者:
李索林; 于增文; 李英超; 徐伟立; 李萌
河北医科大学第二医院小儿外科,石家庄,050000
Author(s):
Li Suolin;  Yu Zengwen;  Li Yingchao;  et al.
Department of Pediatric Surgery, Second Hospital of HebeiMedical University, Shijiazhuang 050000, China
关键词:
腹腔镜; 缝合; 吻合; 胃流出道梗阻
Keywords:
Laparoscopy; 　Suture; 　Anastomosis; 　Gastric outlet obstruction
分类号:
R726.1;R656 　
文献标志码:
A
摘要:
目的 探讨腹腔镜下胃空肠缝合吻合手术的方法、安全性和有效性.方法 2005年5月～9月,对3例小儿胃流出道梗阻病儿进行腹腔镜下胃空肠缝合吻合术,2例幽门狭窄继发于消化性溃疡同时行高选择性迷走神经切断术.将一段空肠经结肠前上提靠近胃窦部,先浆肌层连续缝合胃空肠固定在一起,超声刀切开胃壁和毗邻空肠,分别连续全层缝合胃空肠侧壁,再间断浆肌层缝合加固.结果 3例全部在腹腔镜下完成胃空肠缝合吻合,手术时间分别为135、150、180 min,3例术后住院时间均为6 d.无并发症发生.各随访8、10和12个月饮食正常,营养状况良好.结论 腹腔镜胃空肠缝合吻合术是一种安全可行的技术,创伤小,恢复快且美观.
Abstract:
Objective　To explore themethod, safety, and efficacy of laparoscopic intracorporeal sutured gastrojejunostomy. M ethods　Three children with gastric outlet obstruction underwent laparoscopic sutured gastrojejunostomy from May to September 2005. Of them, two patientswith pyloric stenosis secondary to peptic ulceration received a concomitant highly selective vagotomy. A suitable segment of jejunum was lifted over the transverse colon and apposed to the gastric antrum. A continuous 4/0 suture was conducted at the seromuscular layermaking the two organs together. Then the stomach and adjacent jejunum were incised with an ultrasonic scalpe.l A side-to-side gastrojejunostomy was performed with full-thickness continuous suture of gastric and jejunal wall followed by anterior interrupted suture of seromuscular layers.　Results　All the intracorporeal sutured gastrojejunostomies were completed successfully under laparoscope. The operating time was 135, 150, and 180 min, respectively. The postoperative hospital staywas 6 d. There was no surgical complications. Postoperative follow-up at 8, 10, and 12 months, respectively, showed that all patients had normal diet and nutriture.　Conclusions　Laparoscopic sutured gastrojejunostomy is a safe and feasible technique, with advantages ofminimal invasion, rapid recovery, and good cosmetic outcomes.

参考文献/References:

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更新日期/Last Update: 2014-03-03