欧洲卓越中心（CoE）的减重手术结果。
Bariatric surgery outcomes in a European Centre of Excellence (CoE).
机构信息
Endocrine, Metabolic and Bariatric Unit, General Surgery Department, Hospital Universitari de la Vall d’Hebron, Center of Excellence for the EAC-BC, Passeig de la Vall d’Hebron, 119-129, 08035 Barcelona, Spain.
出版信息
Obes Surg. 2013 Aug;23(8):1324-32. doi: 10.1007/s11695-013-0980-5.
Bariatric Surgery Centres of Excellence have been promoted by the International Federation for the Surgery of Obesity and Metabolic Disorders European Chapter to improve outcomes and security of patients. A retrospective analysis of our prospective database has been performed. Between May 2001 and September 2012, we operated on 690 patients, first with open gastric bypass (2001-2005), then laparoscopy (2006-2009), introduced robotics and finally the Centre of Excellence period (2012). Complication rate was 18.9 % in the first period and 3 % in the last. We reoperated on 9 % of patients in two early periods and none in the last. Mortality rate was 2, 0.85, 0.47 and 0 % in the four periods. Teams that are just at the beginning of their experience in bariatric surgery in order to avoid complications and deal with better long-term results.
肥胖与代谢外科国际联合会欧洲分会提倡建立减重手术卓越中心，以改善患者的治疗效果和安全性。我们对前瞻性数据库进行了回顾性分析。2001 年 5 月至 2012 年 9 月，我们对 690 名患者进行了手术，最初采用开放式胃旁路术（2001-2005 年），然后是腹腔镜手术（2006-2009 年），引入机器人技术，最后是卓越中心时期（2012 年）。第一个时期的并发症发生率为 18.9%，最后一个时期为 3%。在头两个早期阶段，有 9%的患者需要再次手术，而在最后一个时期则没有。四个时期的死亡率分别为 2%、0.85%、0.47%和 0%。对于刚开始从事减重手术的团队来说，建立减重手术卓越中心有助于避免并发症，获得更好的长期效果。
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