Несостоятельность аппаратного («степлерного») шва после лапароскопической продольной резекции желудка. Обзор литературы

Несостоятельность аппаратного («степлерного») шва после лапароскопической продольной резекции желудка. Обзор литературы

Автор: Ковалев А. А., Корнюшин О. В., Маслей В. В., Булавинова Н. И., Солоницын Е. Г., Неймарк А. Е., Данилов И. Н.

Журнал: Московский хирургический журнал @mossj

Рубрика: Бариатрическая хирургия

Статья в выпуске: 3 (73), 2020 года.

Бесплатный доступ

Последние 10 лет отмечается экспоненциальный рост количества пациентов, страдающих ожирением. В большинстве стран более 30% населения имеет избыточную массу тела и ожирение. Сегодня наиболее эффективным методом лечения морбидного ожирения является бариатрическая хирургия. Число выполняющихся ежегодно бариатрических вмешательств неуклонно растет и на сегодняшний день превышает 760 тысяч в год. На протяжении последних 7 лет наиболее часто выполняемой бариатрической операцией стала лапароскопическая продольная резекция желудка. Несмотря на накопленный опыт в выполнении бариатрических вмешательств, постоянное совершенствование аппаратных технологий соединения тканей, осложнения после бариатрических операций, по-прежнему, встречаются в хирургической практике. Одним из наиболее грозных осложнений после выполнения лапароскопической продольной резекции желудка является развитие несостоятельности аппаратного шва. В статье представлены современные взгляды на причины, диагностику профилактику и тактику лечения пациентов с несостоятельностью аппаратного шва.

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Бариатрическая хирургия, продольная резекция желудка, несостоятельность шва, аппаратный шов, осложнения продольной резекции желудка

Короткий адрес: https://sciup.org/142226450

IDR: 142226450   |   DOI: 10.17238/issn2072-3180.2020.3.87-95

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