Fried M, Peskova M
First Surgical Department, Charles University Teaching Hospital, Prague, 128 08, Czech Republic.
Obes Surg. 1995 Feb;5(1):74-76. doi: 10.1381/096089295765558213.
gastric banding has been performed for morbid obesity, with the last nine patients having a laparoscopic approach. MATERIALS: forty-five patients who had undergone primary operations for morbid obesity between 1986 and 1993 were selected for retrospective analysis. All patients had undergone gastric banding. Average pre-operative BMI was 50.9 (kg m(2)) and average pre-operative weight was 135.1 kg. RESULTS: the 3 year mean post-operative BMI reached 28.7 and the 3 year mean post-operative weight loss was 55.7 kg. Blood pressure significantly decreased from the mean 151/ 96 mmHg to l32/90 mmHg at 1-year follow-up. There were no significant changes noted in the levels of RBC, electrolytes and transaminase. There were post-operative wound-healing complications in 18.1% of the patients, wound discharge in 8.8% and incisional hernia in 8.8% of the patients. In 1993 we commenced laparoscopic gastric banding which enabled us to shorten the hospital stay and decrease post-operative complications. CONCLUSION: we are achieving the same good weight-loss results with the laparoscopic technique as after 'open' laparotomy gastric banding.
胃束带术已用于治疗病态肥胖，最近9例患者采用了腹腔镜手术方式。
选择了1986年至1993年间接受过病态肥胖初次手术的45例患者进行回顾性分析。所有患者均接受了胃束带术。术前平均体重指数（BMI）为50.9（kg/m²），术前平均体重为135.1kg。
术后3年平均BMI达到28.7，术后3年平均体重减轻55.7kg。在1年随访时，血压从平均151/96mmHg显著降至132/90mmHg。红细胞、电解质和转氨酶水平未见明显变化。18.1%的患者出现术后伤口愈合并发症，8.8%的患者伤口有渗出，8.8%的患者发生切口疝。1993年我们开始进行腹腔镜胃束带术，这使我们能够缩短住院时间并减少术后并发症。
我们采用腹腔镜技术取得的减肥效果与“开放”剖腹胃束带术后的效果相同。
