Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy
Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy
复制标题
腹腔镜胆囊切除术和袖状胃切除术的端口共享技术
DOI：
10.1007/s00595-021-02304-7
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发表时间：
2021
期刊：
影响因子：
2.5
通讯作者：
Inomata M
中科院分区：
文献类型：
--
作者：
Ohta M;Tada K;Endo Y;Nakanuma H;Fujinaga A;Kawamura M;Masuda T;Kawasaki T;Watanabe K;Hirashita T;Inomata M
在日本，减肥手术的数量仍然很低。因此，同时进行腹腔镜胆囊切除术（LC）和腹腔镜袖状胃切除术（LSG）仍然相对少见，但正在增加。我们开发了LC和LSG的新端口共享技术，我们对26名患有胆囊（GB）疾病的肥胖日本患者进行了手术，使用LSG套管针排列和一个额外的套管针。我们先进行LC，在上腹部更换肝脏牵开器后，我们完成了LSG。1例肝外胆管异常患者需要一个额外的端口。平均LC时间为55 min，所有患者LC后即刻顺利过渡至LSG。1例患者术后发生腹腔内出血，保守治疗。同时LC与LSG使用端口共享技术是可行的，安全的肥胖日本患者GB的疾病。
In Japan, the number of bariatric surgeries performed has remained low. Thus, concomitant laparoscopic cholecystectomy (LC) with laparoscopic sleeve gastrectomy (LSG) is still relatively uncommon, but is increasing. We developed new port-sharing techniques for LC and LSG, which we performed on 26 obese Japanese patients with gall bladder (GB) diseases, using the LSG trocar arrangement and one additional trocar. We performed LC first, and after exchanging a port for a liver retractor in the epigastrium, we then completed LSG. One patient with an anomalous extrahepatic bile duct required one additional port. The mean LC time was 55 min, and the transition to LSG just after LC was smooth in all the patients. One patient suffered postoperative intraperitoneal hemorrhage, which was managed conservatively. Concomitant LC with LSG using port-sharing techniques is feasible and safe for obese Japanese patients with GB diseases.