Angkoolpakdeekul Theerapol, Samlitpradit Preeda, Warodomwichit Daruneewan, Roongpisuthipong Chulaporn, Pongchailert Paisal, Komindr Surat
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 2006 Aug;89(8):1140-5.
Morbid obesity is a growing problem in Thailand. Several surgical procedures are available for weight reduction. The laparoscopic gastric banding has been shown to be an effective weight loss with a low post or perioperative complication.
The aim of this report was to evaluate the early preliminary outcome of the laparoscopic Swedish adjustable gastric banding operation in Thai cohort patients.
From November 2003 until March 2005, ten patients with a median age of 31 (range, 18-61) underwent laparoscopic Swedish adjustable gastric banding for morbid obesity at Ramathibodi Hospital. Demography, clinical course and outcome including excess weight loss and peri-operative complications were reviewed and studied. Descriptive statistics were used for data summary.
There were 3 men and 7 women with a median preoperative body weight of 142.5 kg (range, 98-164 kg), and median body mass index (BMI) of 49.2 kg/m2 (range, 40.3-62.4 kg/m2). The operations were successful in 9 out of 10 patients with median operative time of 195 minutes (range, 125-275 minutes). One patient with a BMI of 62.4 had a failed operation due to poor operative exposure from a very large left lobe of the liver. None of the remaining patients required conversion to the opened technique. The mean hospital stay was 4 days with no perioperative mortality. There was no major post operative complication except one minor wound infection. The excess weight loss was within the range of 33.5% to 62.1% during the short-term follow-up (range, 1-15 months)
The presented early preliminary result of the laparoscopic Swedish adjustable gastric banding showed a good technical success with a significant short-term weight loss. The authors believe this minimally invasive operation is appropriate for morbidly obese Thai patient. However a longer follow-up study is needed.
病态肥胖在泰国是一个日益严重的问题。有几种外科手术可用于减重。腹腔镜胃束带术已被证明是一种有效的减肥方法，术后或围手术期并发症发生率低。
本报告的目的是评估泰国队列患者中腹腔镜瑞典可调节胃束带术的早期初步结果。
2003年11月至2005年3月，10名中位年龄为31岁（范围18 - 61岁）的患者在拉玛蒂博迪医院接受了腹腔镜瑞典可调节胃束带术治疗病态肥胖。回顾并研究了人口统计学、临床过程及结果，包括超重减轻情况和围手术期并发症。采用描述性统计进行数据汇总。
有3名男性和7名女性，术前中位体重为142.5千克（范围98 - 164千克），中位体重指数（BMI）为49.2千克/平方米（范围40.3 - 62.4千克/平方米）。10例患者中有9例手术成功，中位手术时间为195分钟（范围125 - 275分钟）。1例BMI为62.4的患者因肝脏左叶过大导致手术暴露不佳，手术失败。其余患者均无需转为开放手术技术。平均住院时间为4天，无围手术期死亡。除1例轻微伤口感染外，无重大术后并发症。在短期随访（范围1 - 15个月）期间，超重减轻幅度在33.5%至62.1%之间。
腹腔镜瑞典可调节胃束带术的早期初步结果显示技术成功率高，短期体重减轻显著。作者认为这种微创手术适用于病态肥胖的泰国患者。然而，需要进行更长时间的随访研究。
