Surgery Department, Sachsenhausen Hospital, Krankenhaus Sachsenhausen Schulstr. 31, 60594, Frankfurt am Main, Germany,
Obes Surg. 2013 Dec;23(12):2004-12. doi: 10.1007/s11695-013-1022-z.
Laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG) are the most common obesity surgeries. Their early complications may prolong hospital stay (HS).
Data for patients who underwent LRYGB and LSG in our clinic from 2009 through August 2012 were collected. Early post-operative complications prolonging HS (>5 days) were retrospectively analyzed, highlighting their relative incidence, management, and impact on length of HS.
Sixty-six patients (4.9 %) after 1,345 LRYGB operations vs. 49 patients (7.14 %) after 686 LSG operations developed early complications. This difference is statistically significant (p = 0.039). Male gender percentage was significantly higher in complicated LSG group vs. complicated LRYGB group [23 patients (46.9 %) vs. 16 patients (24.2 %)] (p = 0.042). Mean BMI was significantly higher in the complicated LSG group (54.2 ± 8.3) vs. complicated LRYGB group (46.8 ± 5.7; p = 0.004). Median length of HS was not longer after complicated LSG compared with complicated LRYGB (11 vs. 10 days; p = 0.287). Leakage and bleeding were the most common complications after either procedure. Leakage rate was not higher after LSG (12 patients, 1.7 %) compared with LRYGB (22 patients, 1.6 %; p = 0.304). Bleeding rate was significantly higher after LSG (19 patients, 2.7 %) than after LRYGB (10 patients, 0.7 %; p = 0.004). Prolonged elevation of inflammatory markers was the most common presentation for complications after LSG (18 patients, 36.7 %) and LRYGB (31 patients, 46.9 %).
LSG was associated with more early complications. This may be attributed to higher BMI and predominance of males in LSG group.
腹腔镜 Roux-en-Y 胃旁路术（LRYGB）和腹腔镜袖状胃切除术（LSG）是最常见的肥胖症手术。它们的早期并发症可能会延长住院时间（HS）。
收集了 2009 年至 2012 年 8 月在我院行 LRYGB 和 LSG 的患者数据。回顾性分析了延长 HS（>5 天）的术后早期并发症，突出了它们的相对发生率、处理方法以及对 HS 长度的影响。
在 1345 例 LRYGB 手术中，有 66 例（4.9%）患者和在 686 例 LSG 手术中有 49 例（7.14%）患者发生早期并发症。这一差异具有统计学意义（p = 0.039）。与 LRYGB 组相比，并发症 LSG 组的男性比例明显更高[23 例（46.9%）比 16 例（24.2%）]（p = 0.042）。并发症 LSG 组的平均 BMI 明显更高（54.2 ± 8.3）比并发症 LRYGB 组（46.8 ± 5.7；p = 0.004）。与 LRYGB 相比，并发症 LSG 组的 HS 中位数并没有延长（11 天比 10 天；p = 0.287）。渗漏和出血是两种手术中最常见的并发症。LSG 后漏诊率并不高于 LRYGB（12 例，1.6%）（p = 0.304）。LSG 后出血率明显高于 LRYGB（19 例，2.7%）（p = 0.004）。LSG（18 例，36.7%）和 LRYGB（31 例，46.9%）术后并发症最常见的表现是炎症标志物的持续升高。
LSG 与更多的早期并发症相关。这可能归因于 LSG 组 BMI 较高且男性比例较高。
