Department of Surgery, Centre for Minimally Invasive Surgery, Vivantes Hospital Spandau, Berlin, Germany.
Obes Facts. 2009;2 Suppl 1(Suppl 1):15-8. doi: 10.1159/000198242. Epub 2009 Mar 18.
Laparoscopic sleeve gastrectomy is becoming increasingly established as a stand-alone procedure for weight reduction. The restrictive as well as humoral characteristics of this operation assure postoperative weight loss of up to 70-80% after 1 year. Complications also occur with this procedure.
The technical details of the sleeve gastrectomy surgical procedure are described, while elaborating on potential complications and on calibration. In our case, we perform gastrectomy under intraoperative gastroscopic control for calibration as well as for suture control as a standard procedure. As a general practice, the staple line is reinforced with the bioabsorbable material Seamguard.
Since June 2006, 38 patients have undergone sleeve gastrectomy.Postsurgical bleeding occurred in 1 case (2.6%) and had to be treated surgically. 1 patient developed cicatricial stenosis and required dilatation (2.6%). After 1 year, 85% of patients had a weight loss of 70-80%.
Thanks to the standardisation of this procedure using staple line reinforcement and intraoperative gastroscopic control, the complication rate can be reduced and the successful outcome of this stand-alone,weight-reduction operation can be optimised.
腹腔镜袖状胃切除术作为一种独立的减重手术方法，正日益得到广泛应用。这种手术具有限制和体液两方面的特性，可保证术后 1 年体重减轻 70%-80%。该手术也会出现并发症。
本文详细描述了袖状胃切除术的技术细节，阐述了潜在的并发症和校准问题。在我们的病例中，我们在术中胃镜控制下进行胃切除术，作为标准程序进行校准和缝合控制。常规情况下，使用可吸收材料 Seamguard 加固吻合线。
自 2006 年 6 月以来，38 例患者接受了袖状胃切除术。1 例（2.6%）发生术后出血，需手术治疗。1 例发生瘢痕性狭窄，需扩张（2.6%）。术后 1 年，85%的患者体重减轻 70%-80%。
通过使用吻合线加固和术中胃镜控制标准化该手术，可降低并发症发生率，优化这种独立的减重手术的良好效果。
