...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of laparoendoscopic and advanced surgical techniques, Part A >Transjejunal Extraction of Gallbladder After Mini-Laparoscopic Cholecystectomy in Patients with Previous Roux-en-Y Gastric Bypass: A Small Case Series
【24h】

Transjejunal Extraction of Gallbladder After Mini-Laparoscopic Cholecystectomy in Patients with Previous Roux-en-Y Gastric Bypass: A Small Case Series

机译：小型腹腔镜胆囊切除术后先前Roux-en-Y胃旁路手术患者经胆囊经空肠摘除：小病例系列

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background: The length of incisions on the abdominal wall directly correlates with wound-related morbidities and patient comfort. Both mini-laparoscopy (only 5-mm trocars) and natural orifice specimen extraction avoid larger abdominal incisions. This study described a new natural orifice translumenal endoscopic surgery (NOTES (R); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) cholecystectomy technique by combination of these two advanced laparoscopic techniques for cholelithiasis in patients who had prior laparoscopic Roux-en-Y gastric bypass (LRYGB) for obesity. Patients and Methods: Three patients (two males, one female; 39, 62, and 34 years old, respectively) were admitted with symptomatic cholelithiasis (multiple millimeter-sized gallstones), and all had previously had LRYGB. They were treated by mini-laparoscopic cholecystectomy using three 5-mm trocars. The gallbladder was removed through the dilated efferent limb of the jejunum, 5cm distal from the gastrojejunostomy. Transjejunal extraction was performed under endoscopic guidance. The gallbladder in the jejenum was passed through the anastomosis and extracted with an endoscopic snare by the transoral way. The enterotomy was closed intracorporeally. Results: There was no conversion or additional trocar requirement. All the procedures were completed successfully without problems. Respective operating times were 95, 75, and 120 minutes. Only 1 patient required postoperative analgesic; the others did not. The patients started to get a liquid diet on the night of surgery and were discharged on Days 1, 1, and 2, respectively, with normal diet recommendations. There were no morbidities. Conclusions: Mini-laparoscopic cholecystectomy is technically feasible in patients with previous LRYGB. Prior LRYGB was not an obstacle for transoral specimen extraction. The dilated efferent jejunal limb is a good alternative route for natural orifice specimen extraction. This report described the first natural orifice surgery through the small bowel.
机译：背景：腹壁切口的长度与伤口相关的发病率和患者的舒适度直接相关。微型腹腔镜检查（仅5 mm套管针）和自然孔口标本提取均避免了较大的腹部切口。这项研究描述了一种新的自然孔腔内镜手术（NOTES（R）;美国胃肠内窥镜学会[Oak Brook，IL]和美国胃肠内窥镜外科医师学会[Los Angeles，CA]）结合这两种先进技术进行的胆囊切除术曾因肥胖而接受腹腔镜Roux-en-Y胃搭桥术（LRYGB）的患者的腹腔镜技术治疗胆石症。患者和方法：3例有症状的胆石症（多发毫米大小的胆结石）入院（男2例，女1例;分别为39岁，62岁和34岁），并且所有患者以前都患有LRYGB。他们使用三只5毫米套管针通过微型腹腔镜胆囊切除术进行了治疗。胆囊通过空肠扩张段，距胃空肠吻合口5cm远。经内镜引导下行经空肠摘除术。空肠中的胆囊通过吻合术，并通过经口内窥镜圈套器取出。肠切开术是体内封闭的。结果：没有转换或额外的套管针要求。所有程序均成功完成，没有任何问题。分别的操作时间为95、75和120分钟。仅1例患者需要术后镇痛;其他人没有。患者在手术当晚开始流质饮食，并在第1天，第1天和第2天按正常饮食建议出院。没有发病率。结论：小型腹腔镜胆囊切除术在以前有LRYGB的患者中是可行的。先前的LRYGB并不是经口标本提取的障碍。空腹传出肢体扩张是自然孔板标本提取的一种很好的替代方法。该报告描述了通过小肠进行的首次自然孔口手术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号