中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2014年
7期
648-650
,共3页
杨华%王存川%杨景哥%曹国%翟贺宁%余淑卿%黄韦歆%黄勇%孙鹏
楊華%王存川%楊景哥%曹國%翟賀寧%餘淑卿%黃韋歆%黃勇%孫鵬
양화%왕존천%양경가%조국%적하저%여숙경%황위흠%황용%손붕
胃旁路手术%精准手术%腹腔镜%肥胖症%代谢性疾病
胃徬路手術%精準手術%腹腔鏡%肥胖癥%代謝性疾病
위방로수술%정준수술%복강경%비반증%대사성질병
Gastric bypass%Precise surgery%Laparoscopy%Obesity%Metabolic diseases
目的 探讨精准腹腔镜Roux-en-Y胃旁路手术(LRYGB)治疗肥胖与代谢性疾病的疗效和安全性.方法 回顾性分析暨南大学附属第一医院胃肠外科2011年6月至2013年4月期间行精准LRYGB的140例肥胖患者的临床及随访资料.结果 所有患者均顺利完成精准LRYGB手术,无中转开腹或死亡病例,手术时间(138.0±21.3) min;术后住院时间(5.2±1.2)d,未发现严重术后并发症.术后1、6、12和24月的多余体质量减少率分别为(26.4±8.6)％、(53.3±6.7)％、(75.3±7.9)％和(78.5±8.5)％.术后1年,肝肪肝、高脂血症、高血压和2型糖尿病等肥胖相关代谢性疾病的改善率分别为84.6％(33/39)、92.3％(12/13)、77.3％(17/22)和82.4％(14/17).结论 对传统手术技术进行了改良与优化的精准LRYGB不会增加手术时间,安全可行;患者术后减重效果明显,能有效改善相关合并症.
目的 探討精準腹腔鏡Roux-en-Y胃徬路手術(LRYGB)治療肥胖與代謝性疾病的療效和安全性.方法 迴顧性分析暨南大學附屬第一醫院胃腸外科2011年6月至2013年4月期間行精準LRYGB的140例肥胖患者的臨床及隨訪資料.結果 所有患者均順利完成精準LRYGB手術,無中轉開腹或死亡病例,手術時間(138.0±21.3) min;術後住院時間(5.2±1.2)d,未髮現嚴重術後併髮癥.術後1、6、12和24月的多餘體質量減少率分彆為(26.4±8.6)％、(53.3±6.7)％、(75.3±7.9)％和(78.5±8.5)％.術後1年,肝肪肝、高脂血癥、高血壓和2型糖尿病等肥胖相關代謝性疾病的改善率分彆為84.6％(33/39)、92.3％(12/13)、77.3％(17/22)和82.4％(14/17).結論 對傳統手術技術進行瞭改良與優化的精準LRYGB不會增加手術時間,安全可行;患者術後減重效果明顯,能有效改善相關閤併癥.
목적 탐토정준복강경Roux-en-Y위방로수술(LRYGB)치료비반여대사성질병적료효화안전성.방법 회고성분석기남대학부속제일의원위장외과2011년6월지2013년4월기간행정준LRYGB적140례비반환자적림상급수방자료.결과 소유환자균순리완성정준LRYGB수술,무중전개복혹사망병례,수술시간(138.0±21.3) min;술후주원시간(5.2±1.2)d,미발현엄중술후병발증.술후1、6、12화24월적다여체질량감소솔분별위(26.4±8.6)％、(53.3±6.7)％、(75.3±7.9)％화(78.5±8.5)％.술후1년,간방간、고지혈증、고혈압화2형당뇨병등비반상관대사성질병적개선솔분별위84.6％(33/39)、92.3％(12/13)、77.3％(17/22)화82.4％(14/17).결론 대전통수술기술진행료개량여우화적정준LRYGB불회증가수술시간,안전가행;환자술후감중효과명현,능유효개선상관합병증.
Objective To investigate the efficacy and safety of precise laparoscopic Roux-en-Y gastric bypass (LRYGB) in the treatment of obesity and metabolic diseases.Methods Clinical and follow-up data of obese patients underwent precise LRYGB in our department between June 2011 and April 2013 were analyzed retrospectively.Results A total of 140 obese patients were included in this study.All the precise LRYGB procedures were successfully performed with no conversion to open surgery or perioperative death.Average operation time was (138.0±21.3) min,postoperative hospital stay was (5.2±1.2) d.No severe complications was observed.The percentages of excess weight loss in 1,3,6,and 12 month after operation were (26.4±8.6)％,(53.3±6.7)％,(75.3±7.9)％,(78.5±8.5)％,respectively.The improvement rates of fatty liver,hyperlipidemia,hypertension and type 2 diabetes mellitus were 84.6％ (33/39),92.3％ (12/13),77.3％ (17/22) and 82.4％ (14/17).Conclusions Precise LRYGB is a modified and optimized traditional surgical technique which does not significantly increase the operative time.It is safe and feasible.The postoperative weight loss effect is significant and it can effectively improve the related co-morbidities.
