Noun Roger, Chakhtoura Ghassan, Nasr Marwan, Skaff Judith, Choucair Naîm, Rkaybi Nathalie, Tohme-Noun Carla
Department of Digestive Surgery, Hôtel-Dieu de France Hospital and University Saint Joseph Medical School, Beirut 166830, Lebanon.
J Obes. 2012;2012:813650. doi: 10.1155/2012/813650. Epub 2012 Dec 11.
Data concerning laparoscopic sleeve gastrectomy (LSG) in mild obesity are under investigation.
AIM/OBJECTIVE: May 2010 to May 2012, 122 consecutive patients with preoperative body mass index (BMI) of 33 ± 2.5 kg/m² (range 30-34.9) undergoing LSG were studied. Mean age was 33 ± 10 years (range 15-60), and 105 (86%) were women. Mean preoperative weight was 91 ± 9.7 kg (range 66-121), and preoperative excess weight was 30 ± 6.7 kg (range 19-43). Comorbidities were detected in 44 (36%) patients.
Mean operative time was 58 ± 15 min (range 40-95), and postoperative stay was 1.8 ± 0.19 days (range 1.5-3). There were no admissions to intensive care unit and no deaths within 30 days of surgery. The rates of leaks and strictures were 0%, and of hemorrhage 1.6%. At 12 months, BMI decreased to 24.7 ± 2, and the percentage of excess weight loss (% EWL) reached 76.5%. None of the patients had a BMI below 20 kg/m². Comorbidities resolved in 70.5% or improved in 29.5%. Patient satisfaction scoring (1-5) at least 1 year after was 4.6 ± 0.8 for body image and 4.4 ± 0.6 for food tolerance.
LSG for mildly obese patients has proved to be technically relatively easy, safe, and benefic in the short term.
关于轻度肥胖患者行腹腔镜袖状胃切除术（LSG）的数据正在研究中。
2010年5月至2012年5月，对122例连续接受LSG的患者进行研究，这些患者术前体重指数（BMI）为33±2.5kg/m²（范围30 - 34.9）。平均年龄为33±10岁（范围15 - 60岁），其中105例（86%）为女性。术前平均体重为91±9.7kg（范围66 - 121），术前超重为30±6.7kg（范围19 - 43）。44例（36%）患者检测到合并症。
平均手术时间为58±15分钟（范围40 - 95），术后住院时间为1.8±0.19天（范围1.5 - 3）。无人入住重症监护病房，术后30天内无死亡病例。渗漏和狭窄发生率为0%，出血发生率为1.6%。12个月时，BMI降至24.7±2，超重减轻百分比（%EWL）达到76.5%。无患者BMI低于20kg/m²。70.5%的合并症得到解决，29.5%有所改善。术后至少1年患者对身体形象的满意度评分（1 - 5分）为4.6±0.8，对食物耐受性的评分为4.4±0.6。
对于轻度肥胖患者，LSG在短期内已证明在技术上相对容易、安全且有益。
