摘要
目的探讨达芬奇机器人系统辅助腹腔镜下袖状胃切除术联合保留部分胃底折叠联合食管裂孔疝修补术的手术体会。方法回顾分析2021年4至9月在新疆维吾尔自治区人民医院微创、疝及腹壁外科接受第四代达芬奇机器人辅助克氏新型抗反流减重手术(腹腔镜下袖状胃切除术联合保留部分胃底折叠联合食管裂孔疝修补术)11例患者的临床资料。结果11例患者均顺利完成机器人辅助下克氏新型抗反流减重手术,无中转开腹,其中袖状胃切除术联合保留部分胃底折叠(Dor)联合食管裂孔疝修补术10例;联合胃底折叠360°(Nissen)联合食管裂孔疝修补术1例,术后平均住院时间5 d,手术平均时间2.8 h。11例患者均可以有效随访1~6个月,无围手术期并发症及近期并发症。结论达芬奇机器人辅助下克氏新型抗反流减重手术(腹腔镜下袖状胃切除术联合保留部分胃底折叠联合食管裂孔疝修补术)具有解剖更精细、操作灵活、术中视野更清楚的优点,可达到抗反流减重双重目的,有效防治胃食管反流病的发生发展,是一种安全、有效的微创手术。
ObjectivesTo explore the surgical experience of Da Vinci robot system-assisted laparoscopic sleeve gastrectomy combined with partial fundus preservation combined with esophageal hiatal hernia repair.MethodsA retrospective analysis of the clinical data of 11 patients who underwent the fourth-generation Da Vinci robot-assisted Kirschner new anti-reflux weight reduction surgery(laparoscopic sleeve gastrectomy combined with partial gastric fundus preservation plus esophageal hiatal herniorrhaphy)in the Department of minimally invasive,hernia and abdominal wall surgery in the people's Hospital of Xinjiang Uygur Autonomous region from April to September 2021.ResultsAll the 11 patients successfully completed the robot-assisted Kirschner new anti-reflux weight reduction surgery without conversion to laparotomy,including sleeve gastrectomy(LSG)combined with partial gastric fundus folding(Dor)plus esophageal hiatal hernia repair in 10 cases and combined with gastric fundus fold 360°(Nissen)plus esophageal hiatal hernia repair in 1 case.The average postoperative hospital stay was 5 days and the average operation time was 2.8 h.All 11 patients can be effectively followed up for 1-6 months without perioperative complications and recent complications.ConclusionDa Vinci robot-assisted Kirschner new anti-reflux weight reduction surgery(laparoscopic sleeve gastrectomy combined with partial gastric fundus preservation plus esophageal hiatal herniorrhaphy)is a safer and more effective minimally invasive surgery which hasthe advantages of finer anatomy,flexible operation and clearer field of vision during operation,which can achieve the dual purpose of anti-reflux and weight loss,and effectively prevent the occurrence and development of GERD.
作者
皮尔地瓦斯·麦麦提玉素甫
艾克拜尔·艾力
伊尔夏提江·艾尼瓦尔
迪丽达尔·阿迪里
李义亮
克力木·阿不都热依木
Peerdivas·Memetyusuf;Akbar·Eli;Irshatijan·Anivar;Dilidar·Adiri;Li Yiliang;Kelimu·Abdureyimu(Department of Minimally Invasive Surgery,Hernia and Abdominal Wall Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,83001,China;Xinjiang Medical University Graduate School of Medicine,Urumqi 830054,China)
出处
《中华胃食管反流病电子杂志》
2021年第4期173-176,共4页
Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)
