[1]王亮 张璇① 李震 桑庆 郑学静 张能维＊.脐内2 cm小切口单孔腹腔镜胃袖状切除术8例体会[J].中国微创外科杂志,2018,18(11):993-1022.
　Wang Liang*,Zhang Xuan,Li Zhen*,et al.Single 2 cm Smallincision Inside the Belly Button Laparoscopic Sleeve Gastrectomy: Experience of 8 Cases[J].Chinese Journal of Minimally Invasive Surgery,2018,18(11):993-1022.
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脐内2 cm小切口单孔腹腔镜胃袖状切除术8例体会()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年11期
页码:
993-1022
栏目:
临床研究
出版日期:
2018-11-20

文章信息/Info

Title:
Single 2 cm Smallincision Inside the Belly Button Laparoscopic Sleeve Gastrectomy: Experience of 8 Cases
作者:
王亮 张璇① 李震 桑庆 郑学静 张能维＊
（北京大学第九临床医学院糖尿病外科治疗中心，北京100038）
Author(s):
Wang Liang*;  Zhang Xuan;  Li Zhen*;  et al.
*Surgery Centre of Diabetes Mellitus, Ninth Clinical Hospital, Peking University, Beijing 100038, China
关键词:
腹腔镜胃袖状切除术; 单孔腹腔镜手术; 肥胖症; 2型糖尿病
Keywords:
Laparoscopic sleeve gastrectomy; Singleincision laparoscopic surgery; Obesity; Type2 diabetes mellitus
文献标志码:
A
摘要:
目的探讨脐内2 cm小切口单孔腹腔镜胃袖状切除术（laparoscopic sleeve gastrectomy，LSG）的安全性、可行性，并总结手术经验。方法回顾性分析2017年5月～2018年7月于我中心行脐内2 cm小切口单孔LSG的8例肥胖患者的临床资料及随访结果，男2例，女6例，BMI 29.4～46.88，36.52±10.96。合并2型糖尿病（type 2 diabetes mellitus，T2DM）2例。术中均采用克氏针挡肝技术。结果8例手术均顺利完成，无术中增加戳孔或转为开放。手术时间60～120 min，（987±57.8）min，术中出血量5～50 ml，术后住院2～4 d。无戳孔感染、脂肪液化、出血、胃漏、脐疝等并发症。术后1～2个月获得随访6例。结论脐内2 cm小切口单孔LSG安全、可行，可以采用克氏针挡肝技术。
Abstract:
ObjectiveTo explore the safety and feasibility of single 2 cm smallincision inside the belly button laparoscopic sleeve gastrectomy (LSG) and summarize the surgical experience.MethodsClinical data and followup results of 8 obese patients (2 males and 6 females) receiving single 2 cm smallincision inside the belly button LSG from May 2017 to July 2018 were analyzed retrospectively. Their BMI were 29.4-46.88 (mean, 36.52±10.96). There were 2 cases complicated with type 2 diabetes mellitus (T2DM). During the operation, the technology of fending off the liver by the Kirschner wire was used.ResultsThe operations were successfully performed in all the 8 patients without increasing the number of incision or turning to open operation. The operation time, bleeding volume, and duration of postoperative stay were 60-120 min (mean, 98.7±57.8 min), 5-50 ml, and 2-4 d, respectively. No complications such as incision infection, fat liquefaction, hemorrhage, gastric leakage, or umbilical hernia were observed in all these patients. Postoperative followups for 1-2 months were conducted in 6 cases.ConclusionSingle 2 cm smallincision leakage inside the belly button LSG is safe and feasible and the technology of fending off the liver by the Kirschner wire is necessary.

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备注/Memo

备注/Memo:
＊通讯作者，Email：zhangnw1@sohu.com①（中国疾病预防控制中心辐射防护与核安全医学所，北京100088）
更新日期/Last Update: 2019-03-01