腹腔镜瑞典可调节胃束带术：一项为期五年的前瞻性研究。

Laparoscopic Swedish adjustable gastric banding: a five-year prospective study.

作者信息

Steffen Rudolf, Biertho Laurent, Ricklin Thomas, Piec Gracyna, Horber Fritz F

机构信息

OBEX-Institute, Hirslanden Clinic, Department of Surgery, Zurich and Berne, Switzerland.

出版信息

Obes Surg. 2003 Jun;13(3):404-11. doi: 10.1381/096089203765887741.

DOI:10.1381/096089203765887741

PMID:12841902

Abstract

BACKGROUND

Laparoscopic adjustable gastric banding is a popular bariatric operation in Europe. However, the long-term complication rate and weight loss are still unclear.

METHODS

824 patients underwent a laparoscopic Swedish Adjustable Gastric Banding (SAGB) in a 5-year period. Preoperative data, postoperative weight loss and long-term complications were prospectively obtained for analysis.

RESULTS

Mean age of the 824 patients was 43 +/- 1 years, with mean preoperative BMI 43 +/- 1 kg/m(2). No intra- or postoperative death occurred in the first 30 postoperative days. Intraoperative conversion rate was 5.2%. Peri-operative complication rate was 1.2%. 97% of the patients were available for follow-up (maximum 5 years). Long-term complications occurred in 191 patients (23.2%). 135 complications (16.4%) were related to the band, and 56 (6.8%) to the access-port or to the tube. Mean excess weight loss was 30, 41, 49, 55 and 57 % after 1, 2, 3, 4 and 5 years respectively. 82.9% of the patients obtained >50% EWL after initial treatment.

CONCLUSIONS

The results of this study suggest that laparoscopic SAGB can achieve an effective weight loss, with an acceptable mortality and morbidity rate.

摘要

背景

腹腔镜可调节胃束带术在欧洲是一种流行的减肥手术。然而，其长期并发症发生率和体重减轻情况仍不明确。

方法

在5年期间，824例患者接受了腹腔镜瑞典可调节胃束带术（SAGB）。前瞻性收集术前数据、术后体重减轻情况和长期并发症进行分析。

结果

824例患者的平均年龄为43±1岁，术前平均体重指数为43±1kg/m²。术后前30天内未发生术中或术后死亡。术中转换率为5.2%。围手术期并发症发生率为1.2%。97%的患者可进行随访（最长5年）。191例患者（23.2%）发生长期并发症。135例并发症（16.4%）与束带有关，56例（6.8%）与接入端口或导管有关。1、2、3、4和5年后平均超重减轻分别为30%、41%、49%、55%和57%。82.9%的患者在初始治疗后超重减轻>50%。