医学英语教程-生物医学：Unit 5 Robotic Roux.docxVIP

Unit Five Robotic Roux-en-Y Gastric Bypass for Morbid Obesity Introduction New words for “Introduction” lapar(o): abdomen 腹， 胁腹 （laparomyitis 腹肌炎， laparotomy 剖腹术） peri(o)-：周围， 近 (perianal 肛周的， pericardium 心包，periodontology 牙周病学） gastr(o)-: stomach 胃 （gastroduodenal 胃十二指肠的, gastro-jejunal ?） suturing [‘sju:t??ri?] n. -- surgical joining of two surfaces 缝合 Para 2 viable [vai?bl] adj. 1. capable of being done with means at hand and circumstances as they are 2. capable of life or normal growth and development viable seeds / a viable fetus regression [riɡre??n] n. 1. an abnormal state in which development has stopped prematurely 退化 concomitant [k?nk?mit?nt] n.-- an event or situation that happens at the same time as or in connection with another adj. -- following as a consequence相伴的；共存的；附随的 Surgical Technique * I) Procedures (transition: Once the window was opened….., the……started) open a window in the lesser gastric curvature(胃小弯) with the da Vinci harmonic scalpel(达芬奇超声刀) abduct (使外展) the mesogastrium (脐部，胃系膜) abduct the stomach dissect (解剖) close enough to the gastric wall (胃壁) in order to preserve the vagus nerve(迷走神经) gain access to the lesser epiploic sac(小网膜囊) lesser epiploic sac 小网膜囊：网膜囊是位于小网膜和胃后方的扁窄间隙。 lesser omentum 小网膜：包括肝胃韧带和肝十二指肠韧带。 divide the stomach into two parts with the robotic arms create a gastric pouch(胃小袋) divide the greater omentum (大网膜) identify the beginning of jejunum(空肠) at the root of the transverse mesocolon (横结肠系膜) measure 100cm away from the ligament of Treitz and devide the jejunum into two parts right here ,including the proximal part and the distal part ligament of Treitz 十二指肠悬韧带：在横结肠系膜根部，第二腰椎左侧 韧带有悬吊和固定十二指肠（duodenum）的作用，是空肠（jejunum）起点标志。 raise the distal part toward the gastric pouch and suture(缝合) them together the construction of gastrojejunal anastomosis antecolic 结肠前 retrocolic 结肠后 instill(灌入) the diluted(稀释的) povidone(聚乙烯吡啶酮) solution through the nasogastric tube(鼻饲管) water-tightness 不透水性 attach the proximal