[1]黄致锟.单切口经脐腹腔镜胃旁路术与腹腔镜5孔胃旁路术的比较研究[J].中国微创外科杂志,2010,10(11):969-972.
　Chih Kun Huang..Singleincision Transumbilical vs. Fiveport Laparoscopic RouxenY Gastric Bypass[J].Chinese Journal of Minimally Invasive Surgery,2010,10(11):969-972.
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单切口经脐腹腔镜胃旁路术与腹腔镜5孔胃旁路术的比较研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年11期
页码:
969-972
栏目:
台湾专稿
出版日期:
2010-11-30

文章信息/Info

Title:
Singleincision Transumbilical vs. Fiveport Laparoscopic RouxenY Gastric Bypass
作者:
黄致锟
台湾高雄义大医院国际减重暨糖尿病手术中心国际微创手术训练中心，高雄824
Author(s):
ChihKun Huang.
Bariatric & Metabolic International Surgery Center, EDa Hospital, Kaohsiung 824, Taiwan，China
关键词:
腹腔镜RouxenY 胃旁路手术; 单切口经脐腹腔镜手术; 腹腔镜手术
Keywords:
Laparoscopic RouxenY gastric bypass; Singleincision transumbilical laparoscopic surgery; Laparoscopic sergery
分类号:
R656.6+1
文献标志码:
A
摘要:
目的腹腔镜胃旁路手术RouxenY已经成为减重手术的金标准，但常规手术常需要5~7个皮肤切口来放置trocar，因此，切口可能会产生不尽患者满意的结果。 我们设计了一个治疗病态肥胖的新技术:单切口经脐胃旁路手术（single incision transumbilical LRYGB，SITULRYGB)。 本研究比较腹腔镜5 孔胃旁路手术(5port LRYGB) 和SITULRYGB手术结果与患者满意度。方法50 例重度肥胖 (男14例，女 36例) 分别接受5port LRYGB(25例) 或SITULRYGB(25例)。在肚脐上方以Omega形状切口6 cm，在直接可视下、 将3个trocar 分置于三角形的三角位置入。术中我们使用新设计的肝脏牵引方法——肝悬吊带。结果术后2组皆未出现接口泄漏或出血并发症。SITU 组手术时间较5port LRYGB组长［(99.8±11.1)min vs (67.6±20.5)min，t=6.906,P=0.000］。对术后切口，SITU 组有更高的满意度 ［（4.5±0.6 ）分 vs （40±07）分，t=2.712，P=0.009］。结论腹腔镜胃旁路手术可以成功地以单切口经脐方式来施行，除了手术时间短与术后恢复良好之外，几乎无瘢痕是手术最让病人满意的地方。
Abstract:
ObjectiveConventional laparoscopic RouxenY gastric bypass (LRYGB) is a golden standard for bariatric surgery, but the procedure requires five to seven incisions for placement of multiple trocars and thus may produce less than ideal cosmetic results. We have developed a new approach, singleincision transumbilical LRYGB (SITULRYGB), to treat morbid obesity. This is a study comparing the surgical results and patient satisfaction of fiveport LRYGB and SITULRYGB. MethodsFifty morbidly obese patients (14 males, 36 females) underwent either RouxenY gastric bypass with fiveport LRYGB or the SITULRYGB approach. During the operation, we used a novel intraoperative liver traction method with a “liver suspension tape” that we specifically designed for SITULRYGB. ResultsThere was no operative complication in these two groups, neither leakage nor hemorrhage. SITU operative time was longer than that with fiveport LRYGB ［(99.8±11.1)min vs. (67.6±20.5)min(t=6.906 P=0.000)］. Patient satisfaction was greater with SITU than that with the fiveport method ［4.5±0.6 vs. 4.0±0.7(t=2.712, P=0.009)］. ConclusionsRouxenY gastric bypass can be successfully achieved via a single umbilical incision, a method that provides a short operative time and good recovery and eliminates abdominal scarring. Scarless result makes the high satisfaction.

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更新日期/Last Update: 2013-08-12