腹腔镜十二指肠-空肠手工侧侧吻合治疗肠系膜上动脉压迫综合征4例报道_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王辉 ,  李超 , 孟松 , 朱孝成

徐州医科大学附属医院胃肠外科（江苏徐州 221000）;

Corresponding author：

李超, Email: 17712010249@189.com

Keywords：

肠系膜上动脉压迫综合征; 腹腔镜; 十二指肠-空肠手工侧侧吻合术

DOI：

10.7507/1007-9424.202204024

Video：

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目的探讨腹腔镜十二指肠-空肠手工侧侧吻合术治疗肠系膜上动脉压迫综合征的安全性及可行性。方法回顾性分析4例接受腹腔镜十二指肠-空肠手工侧侧吻合术治疗的肠系膜上动脉压迫综合征患者的临床资料。结果本组4例患者均确诊为肠系膜上动脉压迫综合征，均顺利完成腹腔镜十二指肠-空肠手工侧侧吻合术，无中转开腹或死亡病例。手术时间分别为95、118、103和89 min，术中出血量分别为35、45、30和25 mL，术后肛门排气时间分别为2、3、3和2 d，术后住院时间分别为8、7、9和6 d。术后造影见造影剂顺利通过吻合口，近端小肠显影，未见逆蠕动和造影剂反流情况。术后患者腹痛、腹胀症状消失，无吻合口出血、吻合口漏等严重并发症发生。结论腹腔镜十二指肠-空肠手工侧侧吻合术治疗肠系膜上动脉压迫综合征安全、有效。

Citation： 王辉, 李超, 孟松, 朱孝成. 腹腔镜十二指肠-空肠手工侧侧吻合治疗肠系膜上动脉压迫综合征4例报道. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(11): 1503-1505. doi: 10.7507/1007-9424.202204024 Copy

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8.	张豫峰, 刘成远, 郭永强, 等. 肠系膜上动脉压迫综合征的腹腔镜手术治疗. 中华普通外科杂志, 2017, 32(9): 763-765.
9.	Kirby GC, Faulconer ER, Robinson SJ, et al. Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice. Ann R Coll Surg Engl, 2017, 99(6): 472-475.
10.	Cienfuegos JA, Hurtado-Pardo L, Valentí V, et al. Minimally invasive surgical approach for the treatment of superior mesenteric artery syndrome: long-term outcomes. World J Surg, 2020, 44(6): 1798-1806.
11.	Yao L, Li C, Zhu X, et al. An effective new intestinal anastomosis method. Med Sci Monit, 2016, 22: 4570-4576.
12.	中国腹腔镜胃肠外科研究组(CLASS), 中国抗癌协会胃癌专业委员会, 中华医学会外科分会腹腔镜与内镜外科学组. 腹腔镜局部进展期远端胃癌D2根治术标准操作流程: CLASS-01研究共识. 中华胃肠外科杂志, 2019, 22(9): 807-811.

1. Mathenge N, Osiro S, Rodriguez II, et al. Superior mesenteric artery syndrome and its associated gastrointestinal implications. Clin Anat, 2014, 27(8): 1244-1252.
2. 刘勇, 罗羽宏. 肠系膜上动脉压迫综合征的诊疗进展. 中国普外基础与临床杂志, 2011, 18(2): 225-228.
3. Laique SN, Vozzo CF, Chahal P. Superior mesenteric artery syndrome: an unusual cause of abdominal pain. Cureus, 2020, 12(11): e11505. doi: 10.7759/cureus.11505.
4. Takehara K, Sakamoto K, Takahashi R, et al. Superior mesenteric artery syndrome improved by enteral nutritional therapy according to the controlling nutritional status score. Case Rep Gastroenterol, 2017, 11(3): 729-735.
5. Pottorf BJ, Husain FA, Hollis HW Jr, et al. Laparoscopic management of duodenal obstruction resulting from superior mesenteric artery syndrome. JAMA Surg, 2014, 149(12): 1319-1322.
6. Orczyk K, Wysiadecki G, Majos A, et al. What each clinical anatomist has to know about left renal vein entrapment syndrome (Nutcracker syndrome): A review of the most important findings. Biomed Res Int, 2017, 2017: 1746570. doi: 10.1155/2017/1746570.
7. Albano MN, Costa Almeida C, Louro JM, et al. Increase body weight to treat superior mesenteric artery syndrome. BMJ Case Rep, 2017, 2017: bcr2017219378. doi: 10.1136/bcr-2017-219378.
8. 张豫峰, 刘成远, 郭永强, 等. 肠系膜上动脉压迫综合征的腹腔镜手术治疗. 中华普通外科杂志, 2017, 32(9): 763-765.
9. Kirby GC, Faulconer ER, Robinson SJ, et al. Superior mesenteric artery syndrome: a single centre experience of laparoscopic duodenojejunostomy as the operation of choice. Ann R Coll Surg Engl, 2017, 99(6): 472-475.
10. Cienfuegos JA, Hurtado-Pardo L, Valentí V, et al. Minimally invasive surgical approach for the treatment of superior mesenteric artery syndrome: long-term outcomes. World J Surg, 2020, 44(6): 1798-1806.
11. Yao L, Li C, Zhu X, et al. An effective new intestinal anastomosis method. Med Sci Monit, 2016, 22: 4570-4576.
12. 中国腹腔镜胃肠外科研究组(CLASS), 中国抗癌协会胃癌专业委员会, 中华医学会外科分会腹腔镜与内镜外科学组. 腹腔镜局部进展期远端胃癌D2根治术标准操作流程: CLASS-01研究共识. 中华胃肠外科杂志, 2019, 22(9): 807-811.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

腹腔镜十二指肠-空肠手工侧侧吻合治疗肠系膜上动脉压迫综合征4例报道

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