Rosenthal Raul J, Szomstein Samuel, Kennedy Colleen I, Soto Flavia C, Zundel Natan
The Bariatric Institute, Cleveland Clinic Florida, Weston, FL 33331, USA.
Obes Surg. 2006 Feb;16(2):119-24. doi: 10.1381/096089206775565230.
Morbid obesity is an epidemic in America. This series evaluates the safety and efficacy in the first 1,001 laparoscopic bariatric operations performed at The Bariatric Institute, Cleveland Clinic Florida.
A retrospective review was conducted examining all patients undergoing a primary bariatric procedure (either laparoscopic gastric bypass or laparoscopic gastric banding) from July 2000 to December 2003.
2 surgeons performed 1,001 laparoscopic bariatric operations. Average age was 47 (19-75) years, average BMI was 55.6 (35-97) kg/m2, and average ASA class was III. Excess weight loss was 51% at 6 months, 73.4% at 1 year for the gastric bypass group and 54% at 1 year for the laparoscopic banding group. The overall complication rate was 31.8% (12.4% major and 19.4% minor) in the gastric bypass group and 13% in the laparoscopic banding group. There was no postoperative mortality.
Laparoscopic bariatric surgery is feasible and safe for weight loss. Results obtained have been comparable to those reported for the open approach for weight loss, with a similar major morbidity rate and an improved mortality rate.
病态肥胖在美国呈流行趋势。本系列研究评估了佛罗里达州克利夫兰诊所减肥研究所进行的前1001例腹腔镜减肥手术的安全性和有效性。
对2000年7月至2003年12月期间所有接受初次减肥手术（腹腔镜胃旁路手术或腹腔镜胃束带手术）的患者进行回顾性研究。
2名外科医生实施了1001例腹腔镜减肥手术。平均年龄为47（19 - 75）岁，平均体重指数为55.6（35 - 97）kg/m²，平均美国麻醉医师协会分级为III级。胃旁路手术组6个月时多余体重减轻51%，1年时为73.4%；腹腔镜束带手术组1年时多余体重减轻54%。胃旁路手术组总体并发症发生率为31.8%（严重并发症12.4%，轻微并发症19.4%），腹腔镜束带手术组为13%。无术后死亡病例。
腹腔镜减肥手术对减重是可行且安全的。所获得的结果与开放手术减重的报道结果相当，严重发病率相似，但死亡率有所改善。
