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首页> 外文期刊>Surgical Endoscopy >The Tubingen balloon. A new method for adjusting the tension of the fundic wrap during laparoscopic Nissen fundoplication.
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The Tubingen balloon. A new method for adjusting the tension of the fundic wrap during laparoscopic Nissen fundoplication.

机译：图宾根气球。一种在腹腔镜尼森胃底折叠术中调节眼底包裹张力的新方法。

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摘要

An adequate fundic wrap is fundamental to the success of conventional and laparoscopic Nissen fundoplications. Nevertheless, up to now there has been no standardized method for the surgeon to determine intraoperatively the width and tension of the fundic wrap according to objective criteria. With the support of Rusch (Kernen, Germany), we developed a measurement balloon for use in laparoscopic Nissen fundoplication. The balloon allows the surgeon to define the width of the wrap and predetermine its length, as well as to measure its tension. Depending on the measured balloon pressure, the surgeon can perform fundic sutures more or less tightly. On the basis of 41 fundoplication model tests, we found that a fundic wrap typically described as "loose and floppy" produced a balloon pressure of 50-60 mmHg. In 10 laparoscopic Nissen fundoplications on domestic pigs, we were able to adjust the fundic wrap intraoperatively to a balloon pressure in this range (mean; 53.5; SD; 2.25). After the optimal intraoperative balloon pressure in humans has been investigated in a prospective study that is in progress, the Tubingen balloon is expected to serve as an instrument for quality assurance in reflux surgery.
机译：充分的胃底包裹对于常规和腹腔镜尼森胃底折叠术的成功至关重要。然而，到目前为止，还没有标准化的方法可以让外科医生在手术过程中根据客观标准确定底套的宽度和张力。在Rusch（德国克嫩）的支持下，我们开发了一种用于腹腔镜Nissen胃底折叠术的测量球囊。球囊允许外科医生确定包裹物的宽度并预定其长度，并测量其张力。根据测得的球囊压力，外科医生可以或多或少地紧密地进行眼底缝合。在41个胃底折叠模型测试的基础上，我们发现通常被描述为“松软”的胃底包裹产生的气囊压力为50-60 mmHg。在家猪的10例腹腔镜Nissen胃底折叠术中，我们能够在术中将眼底包裹物调整至该范围内的球囊压力（平均值; 53.5; SD; 2.25）。在一项正在进行的前瞻性研究中对人的最佳术中球囊压力进行了研究后，预计Tubingen球囊将作为反流手术质量保证的一种手段。

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