CAJ | 학술논문

目的：探讨腹腔镜胃束带折叠术在原发性肥胖症治疗中的短期疗效及安全性。方法回顾性分析2011年9月至2011年12月在解放军总医院普通外科接受腹腔镜胃束带折叠术的10例原发性肥胖症患者的临床资料及术后1年的随访资料。结果全组患者均顺利完成手术，无中转开腹。手术时间为74～116（93．0±13．4） min，术中出血量为10～30（15．5±4．7） ml，在普通外科住院时间为3～5（4．1±0．7） d，无术中及术后严重并发症的发生。全组患者术后3、6、9及12月多余体质量减少率分别为25．1％、40．6％、45．3％和50．8％；且均未出现进食困难、胃食管反流及营养不良等并发症。结论腹腔镜胃束带折叠术治疗肥胖症短期疗效较好，安全性高。
목적：탐토복강경위속대절첩술재원발성비반증치료중적단기료효급안전성。방법회고성분석2011년9월지2011년12월재해방군총의원보통외과접수복강경위속대절첩술적10례원발성비반증환자적림상자료급술후1년적수방자료。결과전조환자균순리완성수술，무중전개복。수술시간위74～116（93．0±13．4） min，술중출혈량위10～30（15．5±4．7） ml，재보통외과주원시간위3～5（4．1±0．7） d，무술중급술후엄중병발증적발생。전조환자술후3、6、9급12월다여체질량감소솔분별위25．1％、40．6％、45．3％화50．8％；차균미출현진식곤난、위식관반류급영양불량등병발증。결론복강경위속대절첩술치료비반증단기료효교호，안전성고。
Objective To analyze the efficacy and safety of laparoscopic adjustable gastric placation (LAGBP), a new procedure for surgical treatment of obesity. Methods Clinical and 1-year follow-up data of 10 patients who underwent LAGBP in our department between September and November 2011 were analyzed retrospectively. Results The mean operative time was (93.0±13.4) min, while the mean intraoperative blood loss was (15.5±4.7) ml. The mean excessive body weight loss rate (%EWL) at 3, 6, 9 and 12 months after the operation was 25.1%, 40.6%, 45.3% and 50.8%respectively. There were no severe post operative complications. Conclusions LAGBP is associated with high safety and good short-term efficacy.