腹腔镜细长胃囊Roux-en-Y胃旁路手术治疗重度肥胖症一例报道  

A case report of laparoscopic narrow and long pouch Roux-en-Y gastric bypass surgery for the treatment of severe obesity

作　　者：由伟 魏卓奇 陈文辉 董志勇[1] 杨华[1] 王存川[1] You Wei;Wei Zhuoqi;Chen Wenhui;Dong Zhiyong;Yang Wah;Wang Cunchuan(Department of Metabolic and Bariatric Surgery,The First Afiliated Hospital of Jinan University,Guangzhou 510630,China)

机构地区：[1]暨南大学附属第一医院肥胖代谢外科/减重中心,广州510630

出　　处：《中华肥胖与代谢病电子杂志》2023年第3期218-223,共6页Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition

摘　　要：腹腔镜Roux-en-Y胃旁路手术(LRYGB)是目前应用最广泛的减重手术之一。LRYGB术后胃囊扩大、胃肠吻合口的扩张,与多种并发症相关。2016年,笔者团队在总结相关经验基础的上,对该术式进行创新,开创一种新的手术方式:细长胃囊Roux-en-Y胃旁路手术(narrow and long pouch Roux-en-Y gastric bypass,NLP-RYGB)。本文报道了一例BMI 43.1 kg/m^(2)的肥胖症患者行NLP-RYGB,包括术式主要步骤、术后初步效果及对此术式的探讨。本病例患者为目前国内首例报道NLP-RYGB术后随访长达7年的病例,对该术式的效果评估有一定借鉴和参考价值。Laparoscopic Roux-en-Y gastric bypass surgery(LRYGB)is one of the most performed bariatric procedures.After LRYGB surgery,various complications are associated with dilation of the gastric pouch and gastrointestinal anastomosis.In 2016,based on summarizing relevant experience,the author's team innovated the operation and created a new surgical method:narrow and long pouch Roux-en-Y gastric bypass(NLP-RYGB),hereinafter referred to as NLP-RYGB.This article reports the main steps of this procedure in a patient with a BMI of 43.1 kg/m^(2),the preliminary effect after surgery,and the discussion of this procedure.This patient is the first case in China to report NLP-RYGB postoperative follow-up of up to 7 years,which has certain reference value for evaluating the effect of this procedure.

关 键 词：细长胃囊 腹腔镜Roux-en-Y胃旁路术 重度肥胖 糖尿病 

分 类 号：R656.6[医药卫生—外科学]