Tucker O N, Szomstein S, Rosenthal R J
The Bariatric Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL 33331, USA.
J Gastrointest Surg. 2008 Apr;12(4):662-7. doi: 10.1007/s11605-008-0480-4. Epub 2008 Feb 9.
Single-stage laparoscopic sleeve gastrectomy (LSG) may represent an additional surgical option for morbid obesity.
We performed a retrospective review of a prospectively maintained database of LSG performed from November 2004 to April 2007 as a one-stage primary restrictive procedure.
One hundred forty-eight LSGs were performed as primary procedures for weight loss. The mean patient age was 42 years (range, 13-79), mean body mass index of 43.4 kg/m(2) (range, 35-75), mean operative time of 60 min (range, 58-190), and mean blood loss of 60 ml (range, 0-300). One hundred forty-seven procedures (99.3%) were completed laparoscopically, with a mean hospital stay of 2.7 days (range, 2-25). A 2.7% major complication rate was observed with four events in three patients and no deaths. Four patients required readmission; mild dehydration in two, choledocholithiasis in one, and a gastric sleeve stricture in one.
Laparoscopic SG is a safe one-stage restrictive technique as a primary procedure for weight loss in the morbidly obese with an acceptable operative time, intraoperative blood loss, and perioperative complication rate.
单阶段腹腔镜袖状胃切除术（LSG）可能是治疗病态肥胖的另一种手术选择。
我们对2004年11月至2007年4月期间作为单阶段主要限制性手术进行的LSG前瞻性维护数据库进行了回顾性分析。
148例LSG作为减肥的主要手术进行。患者平均年龄42岁（范围13 - 79岁），平均体重指数43.4 kg/m²（范围35 - 75），平均手术时间60分钟（范围58 - 190分钟），平均失血量60毫升（范围0 - 300毫升）。147例手术（99.3%）通过腹腔镜完成，平均住院时间2.7天（范围2 - 25天）。观察到主要并发症发生率为2.7%，3例患者发生4起事件，无死亡病例。4例患者需要再次入院；2例为轻度脱水，1例为胆总管结石，1例为胃袖状狭窄。
腹腔镜袖状胃切除术是一种安全的单阶段限制性技术，作为病态肥胖患者减肥的主要手术，其手术时间、术中失血量和围手术期并发症发生率均可接受。
