MINIMAL ACCESS SURGERY FOR GASTROESOPHAGEAL REFLUX - LAPAROSCOPIC PLACEMENT OF THE ANGELCHIK PROSTHESIS IN PIGS

被引：15

作者：

BERGUER, R

STIEGMANN, GV

YAMAMOTO, M

KIM, J

MANSOUR, A

DENTON, J

NORTON, LW

ANGELCHIK, JP

机构：

[1] Department of Surgery, University of Colorado Health Science Center, Denver, 80262, CO

[2] Denver Veterans Administration, Denver, 80262, CO

[3] Phoenix Baptist Hospital, Denver, 80262, CO

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1991年 / 5卷 / 03期

关键词：

GASTROESOPHAGEAL REFLUX; ANGELCHIK PROSTHESIS; LAPAROSCOPY; PIG; ESOPHAGEAL MANOMETRY; LOWER ESOPHAGEAL SPHINCTER;

D O I：

10.1007/BF02653217

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Conventional surgery for gastroesophageal reflux is effective but requires laparotomy. Minimal access surgery for gastroesophageal reflux could provide a decrease in morbidity. The Angelchik antireflux prosthesis is an alternative to fundoplication for the treatment of this ailment. We evaluated the results of laparoscopic placement of the Angelchik prosthesis in 10 pigs. The duration of the procedure averaged 44 min. The mean lower esophageal sphincter pressure increased from 12.2 +/- 2.8 mmHg at baseline to 45.2 +/- 7.8 (P < 0.05), 32.1 +/- 3.9 (P < 0.05), and 25.1 +/- 6.5 mmHg (P > 0.05) as measured immediately postoperatively, at 1 week, and at 3 weeks, respectively, following placement of the prosthesis. There was no instance of prosthetic migration or esophageal perforation. One postoperative death due to distention and perforation of the colon occurred. Two animals developed distal esophageal impaction of food. We conclude that the antireflux prosthesis can be safely and effectively placed using laparoscopic methods in a porcine model. Further development of this technique is warranted.

引用

页码：123 / 126

页数：4

共 18 条

[11] Katkhouda N., Mouiel J., A new technique of surgical treatment of chronic duodenal ulcer without laparotomy by videocoelioscopy, Am J Surg, 161, pp. 361-364, (1991)
[12] Nissen R., Eine einfache Operation zur Beeinflussung der Refluxoesophagitis, Schweiz Med Wochenschr, 86, pp. 590-592, (1956)
[13] Peters J.H., Ellison E.C., Innes J.T., Liss J.L., Nichols K.E., Lomano, Front M.E., Carey L.C., Safety and efficacy of laparoscopic cholecystectomy: a prospective analysis of 100 initial patients, Ann Surg, 213, pp. 3-12, (1991)
[14] Postlethwait R.W., The Angelchik antireflux prosthesis: a critical review, Debates in clinical surgery, pp. 111-129, (1991)
[15] Sapala M.A., Sapala J.A., Hurtado M.H., Jung J.Y., A technique for anatomic placement of the Angelchik antireflux prosthesis, Surg Gynecol Obstet, 158, pp. 179-180, (1984)
[16] Skinner D.B., Belsey R.H., Surgical management of esophageal reflux and hiatus hernia, J Thorac Cardiovasc Surg, 53, pp. 33-54, (1967)
[17] Stuart R.C., Dawson K., Keeling P., Byrne P.J., Hennessy T.P.J., A prospective randomized trial of Angelchik prosthesis versus Nissen fundoplication, Br J Surg, 76, pp. 86-89, (1989)
[18] Wiegelt J.A., Kingman R.G., Complications of negative taparotomy for trauma, The American Journal of Surgery, 156, pp. 544-547, (1988)

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