Laparoscopic adjustable gastric banding: Surgical technique
Laparoscopic adjustable gastric banding: Surgical technique
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DOI：
10.1089/109264203322333584
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发表时间：
2003-08-01
期刊：
影响因子：
--
通讯作者：
Fielding, GA
中科院分区：
文献类型：
--
作者：
Ren, CJ;Fielding, GA
腹腔镜可调节胃束带术是治疗病态肥胖症的一种安全有效的手术方法。在美国和澳大利亚使用Lap-Band（TM）系统（Inamed Health，圣巴巴拉，加州）的初步经验表明，手术技术可以影响体重减轻、生活质量和并发症发生率方面的结果。通过胃周技术放置胃束带与胃脱垂、食物不耐受和体重减轻失败的高发生率相关，这些通常会导致束带脱落。在松弛部技术中，胃带放置在胃的更高位置导致形成更小的胃袋和更低的胃脱垂率，这可能有助于更大的体重减轻和改善生活质量。本文介绍了在腹腔镜下放置可调节胃束带的松弛部方法的技术方面。
Laparoscopic adjustable gastric banding is an effective and safe surgical treatment for morbid obesity. Initial experience with the Lap-Band(TM) system (Inamed Health, Santa Barbara, California) in the United States and Australia has demonstrated that surgical technique can affect outcomes in terms of weight loss, quality of life, and complication rates. Placement of the gastric band by means of the perigastric technique is associated with high rates of gastric prolapse, food intolerance, and weight loss failure that frequently lead to band explantation. In the pars flaccida technique, band placement higher on the stomach results in the formation of a smaller pouch and lower rates of gastric prolapse, which may contribute to greater weight loss and improved quality of life. This article describes the technical aspects of the pars flaccida approach in the laparoscopic placement of adjustable gastric bands.