腹腔镜垂直束带胃成形术：5年随访结果

Laparoscopic vertical banded gastroplasty: 5-year results.

作者信息

Wang Weu, Yu Po-Jui, Lee Yi-Chi, Wei Po-Li, Lee Wei-Jei

机构信息

Department of Surgery, En-Chu-Kong Hospital, and School of Nursing, National Taiwan University, Taipei, Taiwan.

出版信息

Obes Surg. 2005 Oct;15(9):1299-303. doi: 10.1381/096089205774512519.

DOI:10.1381/096089205774512519

PMID:16259891

Abstract

BACKGROUND

Vertical banded gastroplasty (VBG) has been a popular bariatric operation for the past 2 decades, and this operation has evolved into a laparoscopic procedure. However, reports of laparoscopic VBG (LVBG) from large series with longer results are limited.

METHODS

From October 1998 to May 2002, 612 consecutive patients underwent LVBG. Mean age was 30.1 years and mean BMI 43.0 kg/m2. Laparoscopic Mason gastroplasty was performed. The change of BMI, obesity-related co-morbidities, and GI quality-of-life index (GIQLI) were studied.

RESULTS

The major and minor complication-rate was 1.14% and 4.58% respectively. The mortality-rate was 0.16%. Mean BMI fell from 43.1 kg/m2 to 31.2, 31.3, 31.4, 32.2, and 32.8 kg/m2 at 1, 2, 3, 4, and 5 years respectively, with 93% follow-up. Revision rate was 9.2%. GIQLI decreased from 113.0 to 106.6, 110.9, 111.9, 112.1, and 106.4 at 1, 2, 3, 4, and 5 years.

CONCLUSION

LVBG is safe and effective in weight reduction. The GIQLI failed to improve postoperatively even with good resolution of obesity-related co-morbidities. In carefully selected patients with diligent postoperative follow-up, LVBG is a bariatric surgery option.

摘要

背景

在过去20年里，垂直束带胃成形术（VBG）一直是一种流行的减肥手术，并且该手术已发展为腹腔镜手术。然而，来自大量病例且随访时间更长的腹腔镜垂直束带胃成形术（LVBG）的报道有限。

方法

从1998年10月至2002年5月，612例连续患者接受了LVBG手术。平均年龄为30.1岁，平均体重指数（BMI）为43.0kg/m²。实施了腹腔镜梅森胃成形术。研究了BMI、肥胖相关合并症以及胃肠道生活质量指数（GIQLI）的变化。

结果

主要并发症发生率和次要并发症发生率分别为1.14%和4.58%。死亡率为0.16%。平均BMI在1年、2年、3年、4年和5年时分别从43.1kg/m²降至31.2kg/m²、31.3kg/m²、31.4kg/m²、32.2kg/m²和32.8kg/m²，随访率为93%。翻修率为9.2%。GIQLI在1年、2年、3年、4年和5年时分别从113.0降至106.6、110.9、111.9、112.1和106.4。