迷你胃旁路手术：1274例首例病例经验

The mini-gastric bypass: experience with the first 1,274 cases.

作者信息

Rutledge R

机构信息

Center for Laparoscopic Obesity Surgery, 4301 Ben Franklin Blvd., Durham, NC 27704, USA.

出版信息

Obes Surg. 2001 Jun;11(3):276-80. doi: 10.1381/096089201321336584.

DOI:10.1381/096089201321336584

PMID:11433900

Abstract

BACKGROUND

Results of the laparoscopic Mini-Gastric Bypass (MGB) are reported.

METHODS

1,274 MGB patients are continuously monitored as part of an online computer tracking data-base system.

RESULTS

Mean preoperative weight (+/- Standard Deviation) was 132 +/- 21 kg, BMI 47 +/- 7. Mean excess weight loss was 51% at 6 months, 68% at 12 months and 77% at 2 years. The mean operating-time was 36.9 +/- 33.5 minutes. The shortest time was 19 minutes. Hospital stay was 1.5 +/- 1.6 days. The overall complication rate has been 5.2%. The overall rate of deep vein thrombosis and pulmonary embolism was 0.08% and 0.16% respectively. The leak rate was 1.6%. There was one hospital death, 0.08%. Associated medical illnesses were either completely reversed or markedly improved.

CONCLUSIONS

The MGB is safe, results in major weight loss, has a short operating-time, and has a short hospital stay. The MGB appears to meet many of the criteria of an "ideal" weight loss operation.

摘要

背景

报告了腹腔镜迷你胃旁路术（MGB）的结果。

方法

作为在线计算机跟踪数据库系统的一部分，对1274例接受MGB手术的患者进行持续监测。

结果

术前平均体重（±标准差）为132±21千克，体重指数为47±7。6个月时平均超重减轻率为51%，12个月时为68%，2年时为77%。平均手术时间为36.9±33.5分钟。最短时间为19分钟。住院时间为1.5±1.6天。总体并发症发生率为5.2%。深静脉血栓形成和肺栓塞的总体发生率分别为0.08%和0.16%。渗漏率为1.6%。有1例医院死亡病例，死亡率为0.08%。相关的内科疾病要么完全逆转，要么明显改善。