中间入路法单孔腹腔镜袖状胃切除术:3例报告(附视频)  

Application of intermediate approach single incision laparoscopic sleeve gastrectomy:A report of 3 cases(with video)

作　　者：孙海涛[1] 郝少龙 孙武青 韩威[1] 白日星 Sun Haitao;Hao Shaolong;Sun Wuqing;Han Wei;Bai Rixing(Department of General Surgery,Beijing LuHe Hosptial,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京潞河医院,北京101149

出　　处：《中华肥胖与代谢病电子杂志》2024年第4期300-304,共5页Chinese Journal Of Obesity and Metabolic Diseases:Electronic Edition

基　　金：北京市通州区科技计划项目(KJ-2024CX039)

摘　　要：报道3例于2024年4月在首都医科大学附属北京潞河医院普外科行单孔腹腔镜袖状胃切除(SILSG)的患者的病例资料,3例患者均采用中间入路原位切割胃底体部进行手术。3例患者平均年龄(40.3±2.1)岁;术前体重(85.2±5.3)kg;身高(1.62±0.03)m;BMI:(32.6±2.4)kg/m^(2)。所有病例手术顺利,无转换为多孔手术。平均手术时间(145.0±18.0)min;术中出血量10~20 mL。术后恢复顺利,无腹腔出血、胃漏和伤口感染等并发症。术后1个月、3个月及6个月随访,体重下降满意,无明显反酸烧心症状。初步显示了中间入路原位切割胃底体部的手术方法应用于SILSG安全可行,还需要更多的病例长时间随访印证安全性及远期效果。This article reports the clinical cases of three patients who underwent single-incision laparoscopic sleeve gastrectomy(SILSG)in the General Surgery Department of Beijing Luhe Hospital,Capital Medical University,in April 2024.All three patients underwent surgery with the in-situ division of the proximal stomach via a middle approach.The average age of the three patients was(40.3±2.1)years;preoperative weight was(85.2±5.3)kg;height was(1.62±0.03)m;and BMI was(32.6±2.4)kg/m^(2).All surgeries were performed successfully without conversion to multi-port surgery.The average operation time was(145.0±18.0)minutes;intraoperative blood loss ranged from 10 to 20 mL.Postoperative recovery was uneventful,with no complications such as intra-abdominal bleeding,gastric leakage,or wound infection.Follow-up at 1,3,and 6 months postoperatively showed satisfactory weight loss and no significant symptoms of acid reflux or heartburn.These preliminary results suggest that the surgical approach of the in-situ division of the proximal stomach via a middle approach is safe and feasible for SILSG,but further long-term followup of more cases is needed to confirm its safety and long-term efficacy.

关 键 词：腹腔镜袖状胃切除术 单孔 中间入路 

分 类 号：R656.6[医药卫生—外科学]