Saber Alan A, El-Ghazaly Tarek H
Michigan State University, Kalamazoo, MI, USA.
Surg Innov. 2010 Mar;17(1):36-40. doi: 10.1177/1553350610361895.
The sleeve gastrectomy procedure has been gaining popularity because of its simplicity and favorable outcomes. This study reports the experience with a single-access approach to laparoscopic sleeve gastrectomy in super-super obese patients.
Four super-super obese patients having a mean body mass index of 62.7 kg/m(2) underwent single-access laparoscopic sleeve gastrectomy. The same perioperative protocol and operative techniques were implemented for all 4 patients.
A total of 4 single-access laparoscopic sleeve gastrectomies in super-super obese patients were successfully performed using this technique. Mean operating time was 126 minutes. One patient required the insertion of an additional trocar. There were no mortalities or postoperative complications noted. Most comorbidities either improved or resolved during a mean follow-up of 5.3 months.
Single-access laparoscopic sleeve gastrectomy in the super-super obese is safe, feasible, and reproducible.
袖状胃切除术因其操作简单且效果良好而越来越受欢迎。本研究报告了采用单孔入路行腹腔镜袖状胃切除术治疗超级肥胖患者的经验。
4例平均体重指数为62.7kg/m²的超级肥胖患者接受了单孔腹腔镜袖状胃切除术。对所有4例患者均采用相同的围手术期方案和手术技术。
采用该技术成功为4例超级肥胖患者实施了单孔腹腔镜袖状胃切除术。平均手术时间为126分钟。1例患者需要额外插入一个套管针。未观察到死亡病例或术后并发症。在平均5.3个月的随访期间，大多数合并症得到改善或缓解。
超级肥胖患者行单孔腹腔镜袖状胃切除术是安全、可行且可重复的。
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