| 自动肝脏悬吊装置在腹腔镜下胃旁路手术中的应用 |
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| 引用本文： | 戴晓江,;文其武,;张玉新,;康慧鑫,;张红兵,;郄文斌,;唐柚青,;金迪,;曾松华,;吴良平. 自动肝脏悬吊装置在腹腔镜下胃旁路手术中的应用[J]. 中华腔镜外科杂志(电子版), 2014, 0(4): 8-10 |
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| 作者姓名： | 戴晓江, 文其武, 张玉新, 康慧鑫, 张红兵, 郄文斌, 唐柚青, 金迪, 曾松华, 吴良平 |
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| 作者单位： | [1]广州军区广州总医院普通外科甲状腺糖尿病外科中心,广州510010; [2]广州军区广州总医院医务部,广州510010; [3]广州军区广州总医院麻醉科,广州510010; [4]广州军区广州总医院ICU,广州510010; [5]广州军区广州总医院营养科,广州510010 |
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| 基金项目： | 广东省自然科学基金资助项目（$2011010000472）;广东省科技计划项目（No.20108060900068,No.2011B050400041） |
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| 摘 要： | 目的：探讨自动肝脏悬吊装置在腹腔镜下胃旁路手术中的应用。方法将75例接受腹腔镜下胃旁路手术的患者随机分为自动肝脏悬吊装置组与分叶拉钩组，比较建立小胃囊、小胃囊空肠吻合两大主要步骤所需时间。结果自动肝脏悬吊装置组建立小胃囊及小胃囊空肠吻合的时间分别是33.80±13.34 min 和22.44±5.26 min，显著短于分叶拉钩组，其时间分别为61.74±18.09 min和32.40±4.07 min（P 〈0.0001）。结论在腹腔镜下胃旁路手术中使用自动肝脏悬吊装置可以更好的显露手术视野，有效的缩短手术时间，有进一步推广应用的价值。
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| 关 键 词： | 腹腔镜下胃旁路术 自动肝脏悬吊装置 分叶拉钩 |
Application of automatic liver suspension device in laparoscopic gastric bypass surgery |
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| Affiliation: | Dai Xiaojiang, Wen Qiwu, Zhang Yuxin, Kang Huixin, Zhang Hongbing, Xi Wenbing, Tang Youqing, Jin Di, Zeng Songhua, Wu Liangping (Thyroid and Diabetes Surgery Center, General Hospital of Guangzhou Military Command of People＇s Liberation Army, Guangzhou 510010, China) |
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| Abstract: | Objective To investigate the value of liver automatic suspension device in laparoscopic gastric bypass surgery. Methods In this randomized trial,we compared the operation time required in two major steps of laparoscopic gastric bypass surgery,including establishing small gastric pouch and a small gastric pouch anastomosis,between 40 patients with liver automatic suspension device and 35 patients with lobulated retractors. Results The operation time required in two major steps above was shorter in liver automatic suspension device group than lobulated retractors group respectively（33. 80 ± 13. 34 min and 22. 44 ± 5. 26 min vs 61. 74 ± 18. 09 min and 32. 40 ± 4. 07 min）（ P 〈 0. 0001）. Conclusion Liver automatic suspension device better revealed the operative field and the operation time was significantly shorter. It＆#39;s worthy of further applications. |
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| Keywords: | Laparoscopic gastric bypass surgery Liver automatic suspension device Lobulated retractors |
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