腹腔镜胃束带取出术15例报告  

Laparoscopic gastric band removal: a report of 15 cases

作　　者：王瑞官[1] 李为民[1] 郑方[1] 刘浩润[1] 吴田田[1] 

机构地区：[1]解放军第309医院,北京100091

出　　处：《腹腔镜外科杂志》2014年第11期822-824,共3页Journal of Laparoscopic Surgery

摘　　要：目的：总结腹腔镜胃束带取出术的手术经验。方法：回顾分析2010年5月至2014年1月为15例患者行腹腔镜下胃束带取出术的临床资料。其中男4例,女11例;25~49岁,平均（37.0±7.12）岁。束带向食管滑动1例,减重失败后患者要求取出束带1例,束带腐蚀胃壁造成胃瘘1例,束带向胃体滑动造成梗阻9例,需要妊娠3例。结果：15例均顺利完成腹腔镜胃束带取出术,无一例中转开放。手术时间30~60 min,平均（45.0±9.23）min。术中、术后无并发症发生。术日晚患者即可下地活动,术后第1天可进流食,术后住院3~5 d,平均（4.0±0.8）d,术后第7天拆线。15例患者均获随访,随访6~24个月,平均（15.0±5.18）个月。患者饮食正常,无腹痛、腹胀等不适。结论：腹腔镜胃束带术是可逆性手术,腹腔镜胃束带取出术可行、安全。Objective：To summarize the operative experience of laparoseopic gastric band removal. Methods：The clinical data of laparoseopie gastric band removal for fifteen patients were retrospectively analyzed. The fifteen patients were selected from May 2010 to Jan. 2014,including four men and eleven women. The age of the fifteen patients ranged from 25 to 49, the mean was （37.0 ± 7.12） y. The band slid to the esophagus in 1 patient. Losing weight failed in 1 patient. The band corroded gastric wall and resulted in gastric fistula in 1 patient. The band slid to the gastric corpus and resulted in obstruction in 9 patients. And there were three patients who needed pregnancy. Results： All of the fifteen patients were operated with laparoseopie gastric band removal successfully. There was no open operation. The operative time ranged from 30 to 60 rain ,with the average of （45.0 ± 9.23 ） rain. No intraoperative and postop- erative complications occurred. The patients could go around in the night of operation. They could eat liquid diet at the first day after op- eration. The hospitalization time after operation was （ 4.0 ± 0. 8 ） d, ranged from 3 to 5 d. They could be taken out stitches at the seventh day after operation. The fifteen patients were followed up for （ 15.0 ± 5.18 ） months （ range,6 to 24 months）. The diet was normal. No abdominal pain or abdominal distention occurred. Conclusions：Laparoseopie gastric banding is reversible, laparoscopic gastric band re- moval is feasible and safe.

关 键 词：腹腔镜检查 胃束带取出术 病例报告 

分 类 号：R656.6[医药卫生—外科学]