Nath Ashish, Leblanc Karl A, Hausmann Mark G, Kleinpeter Kenny, Allain Brent W, Romero Roderick
Department of Surgery, Louisiana State University School of Medicine, New Orleans, Louisiana, USA.
JSLS. 2010 Oct-Dec;14(4):502-8. doi: 10.4293/108680810X12924466007809.
Laparoscopic sleeve gastrectomy is becoming a popular procedure for the morbidly obese patient. Its utilization as a standalone procedure has good results with weight loss in short- and midterm reports. The aim of this study was to assess our technique and whether it warranted any modifications in the early postoperative period.
Our first 100 consecutive patients undergoing laparoscopic sleeve gastrectomy were retrospectively reviewed. Data analysis was conducted at 3 and 6 months to assess the percentage of excess body weight loss and comorbidity status change.
The percentage of excess body weight loss at the 3- and 6-month marks was 34.2% and 49.1%, respectively. Comorbidities were also improved at the 3- and 6-month marks. Hypertension resolved in 38%, hyperlipidemia resolved in 19%, and diabetes in 46%. Complication rate during the first 6 months was 10%. Major complications included 2 patients with postoperative bleeding, 2 patients with acute renal failure from dehydration, and 1 postoperative bleeding patient who developed a gastric fistula. No surgical reintervention was required for any complication.
Our technique is a safe method that is easily reproducible and does not require any modification. Laparoscopic sleeve gastrectomy is an excellent surgical option with a low complication rate.
腹腔镜袖状胃切除术正成为治疗病态肥胖患者的一种常用手术。在短期和中期报告中，其作为一种独立手术的应用在减重方面取得了良好效果。本研究的目的是评估我们的技术以及在术后早期是否需要进行任何改进。
对我们连续进行的首批100例腹腔镜袖状胃切除术患者进行回顾性分析。在3个月和6个月时进行数据分析，以评估超重体重减轻的百分比和合并症状态的变化。
在3个月和6个月时，超重体重减轻的百分比分别为34.2%和49.1%。在3个月和6个月时，合并症也有所改善。38%的高血压患者病情缓解，19%的高脂血症患者病情缓解，46%的糖尿病患者病情缓解。前6个月的并发症发生率为10%。主要并发症包括2例术后出血患者、2例因脱水导致急性肾衰竭的患者以及1例术后出血并发胃瘘的患者。所有并发症均无需手术再次干预。
我们的技术是一种安全的方法，易于重复，无需任何改进。腹腔镜袖状胃切除术是一种并发症发生率低的优秀手术选择。
