CAJ | 학술논문

目的探讨胃小弯空肠侧侧吻合在腹腔镜Roux-en-Y胃旁路手术中的应用.方法回顾性分析2012年5-11月间在首都医科大学附属北京天坛医院普通外科接受腹腔镜Roux-en-Y胃旁路手术治疗的29例2型糖尿病患者的临床资料,术中均采用直线切割闭合器进行胃小弯空肠侧侧吻合.结果 29例患者中男9例,女20例,年龄30～65(平均50.1)岁.所有病例均顺利完成手术,无中转开腹.术后无一例出现胃空肠吻合口出血、吻合口瘘或吻合口梗阻等并发症.术后随访1～7个月未见胃空肠吻合口相关的并发症.结论腹腔镜Roux-en-Y胃旁路手术中采用胃小弯空肠侧侧吻合能准确地控制吻合口大小,避免了镜下缝合操作,操作简单、易于掌握.
목적 탐토위소만공장측측문합재복강경Roux-en-Y위방로수술중적응용.방법 회고성분석2012년5-11월간재수도의과대학부속북경천단의원보통외과접수복강경Roux-en-Y위방로수술치료적29례2형당뇨병환자적림상자료,술중균채용직선절할폐합기진행위소만공장측측문합.결과 29례환자중남9례,녀20례,년령30～65(평균50.1)세.소유병례균순리완성수술,무중전개복.술후무일례출현위공장문합구출혈、문합구루혹문합구경조등병발증.술후수방1～7개월미견위공장문합구상관적병발증.결론 복강경Roux-en-Y위방로수술중채용위소만공장측측문합능준학지공제문합구대소,피면료경하봉합조작,조작간단、역우장악.
Objective To evaluate the application of side-to-side anastomosis of the lesser curvature of stomach and jejunum in laparoscopic Roux-en-Y gastric bypass(LRYGB).Methods Clinical data of 29 patients with type 2 diabetes mellitus(T2DM) undergoing side to side anastomosis of the lesser curvature of stomach and jejunum in LRYGB from May 2012 to November 2012 in Department of General Surgery,Beijing Tiantan Hospital,Capital Medical University were analyzed retrospectively.Results All the procedures were successfully completed without conversion to laparotomy.The side-toside anastomosis of the lesser curvature of stomach and jejunum avoided the laparoscopic suture.No gastrojejunostomy anastomotic bleeding,fistula,obstruction and other complications occurred after operation and no complications of gastrojejunostomy anastomosis were found during a follow up of 1 to 7 months.Conclusions Side-to-side anastomosis of the lesser curvature of stomach and jejunum in LRYGB can manipulate the size of anastomosis accurately and avoid the laparoscopic suturing.It is simple and easy to learn.