Mognol Philippe, Chosidow Denis, Marmuse Jean-Pierre
Service de chirurgie générale A, Hôpital Bichat, Paris, France.
Surg Technol Int. 2006;15:47-52.
To evaluate the outcomes and initial results of laparoscopic sleeve gastrectomy (LSG) and review of the literature.
A retrospective analysis of the initial ten patients who underwent LSG was performed. Study endpoints included operative time, complication rates, hospital length of stay, and percentage of excess body weight loss.
This study included five women and five men, with a mean age of 43 (range: 31-52) years. Their mean preoperative weight was 182 kg (range: 125 kg-247 kg), with a mean preoperative body mass index (BMI) of 64 (range: 61- 80). Indication for LSG was the importance of BMI in all patients. One patient had previous restrictive bariatric surgery. Mean operative time was two (range: 1.5-2.5) hours. No patients required conversion. No postoperative complications nor mortality were noted. The median hospital stay was 7.2 days. Average excess body weight loss and BMI at one year were 51% and 23 kg/m2, respectively.
LSG can be integrated safely into a bariatric treatment program with good results in terms of weight loss and quality of life. LSG can be a first-step procedure before gastric bypass or duodenal switch, or a one-step restrictive procedure if long-term results are good. LSG should be considered as a surgical option in the bariatric field, but further studies are needed to determine its exact use.
评估腹腔镜袖状胃切除术（LSG）的疗效和初步结果并进行文献综述。
对最初接受LSG的10例患者进行回顾性分析。研究终点包括手术时间、并发症发生率、住院时间和超重体重减轻百分比。
本研究包括5名女性和5名男性，平均年龄43岁（范围：31 - 52岁）。他们术前平均体重为182千克（范围：125千克 - 247千克），术前平均体重指数（BMI）为64（范围：61 - 80）。所有患者接受LSG的指征均为BMI过高。1例患者曾接受过限制性减肥手术。平均手术时间为两小时（范围：1.5 - 2.5小时）。无患者需要中转手术。未观察到术后并发症及死亡情况。中位住院时间为7.2天。一年时平均超重体重减轻和BMI分别为51%和23千克/平方米。
LSG可安全纳入减肥治疗方案，在减重和生活质量方面效果良好。LSG可以作为胃旁路手术或十二指肠转位术之前的第一步手术，或者如果长期效果良好则作为一步限制性手术。在减肥领域，LSG应被视为一种手术选择，但需要进一步研究以确定其确切用途。
