腹腔镜外科杂志2024，Vol.29Issue(11)：815-819,5.DOI:10.13499/j.cnki.fqjwkzz.2024.11.815
膜解剖理论指导下以胃后系膜为引导的胃底后壁游离在超级肥胖患者腹腔镜袖状胃切除术中的应用
Posterior wall of gastric fundus freeing guided by posterior gastric mesentery under the membrane anatomy theory in laparoscopic sleeve gastrectomy in super obese patients
陈涛 1周明银 1叶志强 1魏正杰 1李正杰 1韩道正 1王云鹏 1李丽1
作者信息
- 1. 信阳市中心医院普通外科,河南 信阳,464000
- 折叠
摘要
Abstract
Objective:To explore the clinical value of utilizing the posterior gastric mesentery as a guide for the dissection of the gastric fundus posterior wall in laparoscopic sleeve gastrectomy for super obese patients,based on the principles of membrane ana-tomy.Methods:A retrospective analysis was conducted on the clinical data of 22 super obese patients who underwent laparoscopic sleeve gastrectomy guided by the posterior gastric mesentery based on membrane anatomy theory from Jan.2022 to Apr.2024.The dissection time of the posterior gastric mesentery and posterior wall of gastric fundus,intraoperative blood loss,postoperative complica-tions,hospital stay,and recovery status were recorded.Results:All 22 surgeries were successfully completed.The surface of the posterior gastric mesentery was entirely enveloped by intact membranous tissue,and after dissection,a broad posterior gastric space was created between the posterior gastric mesentery and the left gastric mesentery.The time for dissection of the posterior gastric mesentery and posterior wall of gastric fundus ranged from 11 to 16 min,with an average of(12.7±2.2)min.Intraoperative blood loss ranged from 1 to 5 mL,with an average of(2.5±1.3)mL.There was no conversion to open surgery or occurrence of postoperative gastric fistula,anasto-motic stenosis,or intra-abdominal hemorrhage.One case of incision infection and one case of pulmonary infection occurred,both were treated conservatively and resolved.The hospital stay ranged from 5 to 7 d,with an average of(5.3±1.6)d.No surgical mortality was reported.Conclusions:The use of the posterior gastric mesentery as a guide for dissection of the gastric fundus posterior wall in laparo-scopic sleeve gastrectomy,based on membrane anatomy theory,provides specific surgical guidance for super obese patients and holds significant clinical application value.关键词
肥胖症/袖状胃切除术/腹腔镜检查/膜解剖/胃后系膜Key words
Obesity/Sleeve gastrectomy/Laparoscopy/Membrane anatomy/Posterior gastric mesentery分类
医药卫生引用本文复制引用
陈涛,周明银,叶志强,魏正杰,李正杰,韩道正,王云鹏,李丽..膜解剖理论指导下以胃后系膜为引导的胃底后壁游离在超级肥胖患者腹腔镜袖状胃切除术中的应用[J].腹腔镜外科杂志,2024,29(11):815-819,5.
