中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2011年
10期
826-828
,共3页
王跃东%吴嘉%竺杨文%谢志杰%占小莉%叶再元
王躍東%吳嘉%竺楊文%謝誌傑%佔小莉%葉再元
왕약동%오가%축양문%사지걸%점소리%협재원
肥胖症,病态%腹腔镜检查%胃切除术
肥胖癥,病態%腹腔鏡檢查%胃切除術
비반증,병태%복강경검사%위절제술
Obesity,morbid%Laparoscopy%Gastrectomy
目的 探讨腹腔镜袖套状胃切除术治疗肥胖症的有效性及安全性.方法 自2006年12月至2010年4月,40例肥胖症患者接受了腹腔镜袖套状胃切除术,术前平均体质量、体质量指数、超重体质量分别为(104.2±3.3) kg、(36.9±1.0) kg/m2和(37.8±3.0) kg.前瞻性收集和评价实验数据.结果 所有腹腔镜袖套状胃切除术均顺利完成,无中转开腹手术.平均手术时间(80±18) min,无严重并发症发生.术后住院时间(5.5±1.5)d.术后1、3、6、12个月随访,体质量指数分别减少(4.3±1.7) kg/m2、(7.0±1.9) kg/m2、(9.3±3.1)kg/m2和( 10.1±3.8) kg/m2,超重体质量分别减少35.0％±13.5％、57.1％±17.7％、74.2％±27.2％和81.8％±29.4％.结论 腹腔镜袖套状胃切除术治疗体质量指数较小的肥胖患者是有效和安全的,但需要积累更多病例和长期随访观察研究来比较本手术与其他减肥手术的优缺点.
目的 探討腹腔鏡袖套狀胃切除術治療肥胖癥的有效性及安全性.方法 自2006年12月至2010年4月,40例肥胖癥患者接受瞭腹腔鏡袖套狀胃切除術,術前平均體質量、體質量指數、超重體質量分彆為(104.2±3.3) kg、(36.9±1.0) kg/m2和(37.8±3.0) kg.前瞻性收集和評價實驗數據.結果 所有腹腔鏡袖套狀胃切除術均順利完成,無中轉開腹手術.平均手術時間(80±18) min,無嚴重併髮癥髮生.術後住院時間(5.5±1.5)d.術後1、3、6、12箇月隨訪,體質量指數分彆減少(4.3±1.7) kg/m2、(7.0±1.9) kg/m2、(9.3±3.1)kg/m2和( 10.1±3.8) kg/m2,超重體質量分彆減少35.0％±13.5％、57.1％±17.7％、74.2％±27.2％和81.8％±29.4％.結論 腹腔鏡袖套狀胃切除術治療體質量指數較小的肥胖患者是有效和安全的,但需要積纍更多病例和長期隨訪觀察研究來比較本手術與其他減肥手術的優缺點.
목적 탐토복강경수투상위절제술치료비반증적유효성급안전성.방법 자2006년12월지2010년4월,40례비반증환자접수료복강경수투상위절제술,술전평균체질량、체질량지수、초중체질량분별위(104.2±3.3) kg、(36.9±1.0) kg/m2화(37.8±3.0) kg.전첨성수집화평개실험수거.결과 소유복강경수투상위절제술균순리완성,무중전개복수술.평균수술시간(80±18) min,무엄중병발증발생.술후주원시간(5.5±1.5)d.술후1、3、6、12개월수방,체질량지수분별감소(4.3±1.7) kg/m2、(7.0±1.9) kg/m2、(9.3±3.1)kg/m2화( 10.1±3.8) kg/m2,초중체질량분별감소35.0％±13.5％、57.1％±17.7％、74.2％±27.2％화81.8％±29.4％.결론 복강경수투상위절제술치료체질량지수교소적비반환자시유효화안전적,단수요적루경다병례화장기수방관찰연구래비교본수술여기타감비수술적우결점.
Objective To explore efficacy and safety of laparoscopic sleeve gastrectomy for the treatment of obesity.Methods Forty patients underwent laparoscopic sleeve gastrectomy as a treatment option for weight reduction between December 2006 and February 2010.Mean preoperative body weight (BW),body mass index (BMI) and exceed body weight (EBW) were(104.2 ±3.3) kg,(36.9 ± 1.0) kg/m2 and (37.8 ±3.0) kg,respectively.Outcome data were collected and assessed prospectively.Results Laparoscopic procedures were completed in all patients,with no conversion to open surgery.The operation time averaged (80 ± 18 ) min,and there were no severe postoperative complications.The median postoperative hospital stay was (5.5 ± 1.5 ) days.BMI loss was (4.3 ± 1.7 ) kg/m2,( 7.0 ± 1.9 ) kg/m2,(9.3 ±3.1) kg/m2 and (10.1 ±3.8) kg/m2,respectively,and percentage of EBW loss was 35.0％ ± 13.5％,57.1％ ± 17.7％,74.2％ ±27.2％,and 81.8％ ±29.4％,respectively,at 1,3,6,and 12 months following the procedure.Conclusion Laparoscopic sleeve gastrectomy is an effective and safe surgical option for the treatment of obesity with lower BMI.Additional long-term studies are still needed to accurately compare laparoscopic sleeve gastrectomy with other procedures of weight reduction.
