Chazelet C, Verhaeghe P, Perterli R, Fennich S, Houdart R, Topart R, Tussiot J, Skawinski P, Seraille G, Catheline J-M, Merabet M, Dehaye B, Pautot V, Juglard G, Sala J-J
Service de chirurgie digestive, centre hospitalier Belfort-Montbéliard, Belfort, France.
J Chir (Paris). 2009 Aug;146(4):368-72. doi: 10.1016/j.jchir.2009.08.021. Epub 2009 Sep 16.
Sleeve gastrectomy as an isolated procedure is a new option in bariatric surgery. The aim of this study was to evaluate its short and medium term (2 years) results in a multicenter setting.
This is a retrospective study including 446 patients undergoing surgery in 14 teaching, private, and public hospitals.
The immediate post-operative course were uneventful in 83.3% of patients. Minor complications occurred in 10.9% of patients and major complications in 5.3%. Suture line leaks occurred in 4.3% of the whole series. There was no mortality and the rate of reoperation was 2%. Overall mean weight loss after two years was 32 kg and the mean excess weight loss was 62%. Weight loss was significantly greater in non super-obese patients (p=0.0003).
This study confirms the feasibility of sleeve gastrectomy in a multicenter setting; it is efficacious at two years as an isolated bariatric procedure for non super-obese patients. It is possible that an additional second-stage procedure may be necessary for super-obese patients.
袖状胃切除术作为一种独立的手术方式，是减肥手术中的一种新选择。本研究的目的是在多中心环境下评估其短期和中期（2年）效果。
这是一项回顾性研究，纳入了在14家教学医院、私立医院和公立医院接受手术的446例患者。
83.3%的患者术后即刻过程顺利。10.9%的患者发生轻微并发症，5.3%的患者发生严重并发症。整个系列中4.3%的患者出现缝合线渗漏。无死亡病例，再次手术率为2%。两年后的总体平均体重减轻32千克，平均超重减轻率为62%。非超级肥胖患者的体重减轻明显更大（p = 0.0003）。
本研究证实了袖状胃切除术在多中心环境下的可行性；作为非超级肥胖患者的一种独立减肥手术，其在两年时是有效的。对于超级肥胖患者，可能需要额外的二期手术。
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