腹腔镜袖状胃切除术后胃漏的预防与治疗策略  

Prevention and treatment of gastric leakage after laparoscopic sleeve gastrectomy

作　　者：丁睿 薛跃进 杨雁灵 陶开山 Ding Rui;Xue Yuejin;Yang Yanling;Tao Kaishan(Department of Hepatobiliary Surgery,Xijing Hospital of Airforce Medical University,Xi′an 710032,China;Department of General Surgery,Shaanxi Provincial Xin′an Central Hospital,Xi′an 710048,China)

机构地区：[1]空军军医大学西京医院肝胆外科,西安710032 [2]陕西省新安中心医院普通外科,西安710048

出　　处：《中华消化外科杂志》2020年第11期1154-1158,共5页Chinese Journal of Digestive Surgery

基　　金：陕西省科技厅重点研发计划(2018ZDXM⁃SF⁃082);空军军医大学西京医院定额补助探索类重点项目(XJZT19Z29)。

摘　　要：腹腔镜袖状胃切除术(LSG)被证实治疗肥胖症和2型糖尿病等肥胖相关并发症效果显著,且手术流程相对简单,近期和远期并发症较少,近年来应用逐渐增多。随着国内更多的医院开展LSG,其并发症的相关报道也逐渐增多。胃漏、出血、胃腔狭窄是LSG最常见的并发症,其中胃漏处理较为棘手,如果诊断不及时或治疗方式不当将给患者带来严重后果。笔者结合目前LSG后胃漏临床治疗进展和团队实践经验,总结并探讨此类患者预防与治疗的临床经验。It is proven that laparoscopic sleeve gastrectomy(LSG)is effective for obesity,type 2 diabetes mellitus and other obesity⁃related complications.The surgical procedure of LSG is relatively simple,with few short⁃term or long⁃term complications,which has increasing be applicated in recent years.As more hospitals in China carry out LSG,the related reports of its complications have gradually increased.The most common complications of LSG include gastric leakage,bleeding,and gastric cavity stenosis.Among them,gastric leakage is a more difficult problem,and untreated or improper treatment can bring serious consequences to patients.Based on the current progress in clinical treatment of gastric leakage after LSG and practical experience,the authors summarize and discusse the clinical experience of the prevention and treatment of such patients.

关 键 词：肥胖症 2型糖尿病 腹腔镜袖状胃切除术 胃漏 臭氧液 

分 类 号：R656.61[医药卫生—外科学]