腹腔镜袖状胃切除术作为肥胖症患者减重手术的早期临床疗效：中国单中心报告。
Early clinical efficacy of laparoscopic sleeve gastrectomy as a bariatric surgery for obese patients: a uni-center report in China.
机构信息
Department of General Surgery, Affiliated Shanghai No.9 People's Hospital of Shanghai Jiaotong University Medical School, Shanghai 200011, China.
出版信息
Biomed Environ Sci. 2013 Jul;26(7):539-45. doi: 10.3967/0895-3988.2013.07.004.
OBJECTIVE
To report the experience with laparoscopic sleeve gastrectomy as a bariatric surgery in our center.
METHODS
Twenty obese patients were followed up for 1 year after receiving laparoscopic sleeve gastrectomy as a bariatric surgery in our center from January 2009 to October 2010, during which their general conditions, complications, and improvement of obesity-related diseases were assessed.
RESULTS
Of the 20 patients, 19 underwent laparoscopic sleeve gastrectomy and 1 underwent open sleeve gastrectomy with no death occurred. The average weight loss was 36.4±10.0 kg, the average BMI decreased from 46.1±11.5 to 33.6±5.6 kg/m2, and the excess weight loss was 55.9%±14.2% one year after the operation. The majority of obesity-related diseases were improved. In one year after the operation, excellent, good, fairly good and poor scores were achieved in 2 (10.0%), 8 (40.0%), 7 (35.0%), and 3 patients (15.0%), respectively.
CONCLUSION
Laparoscopic sleeve gastrectomy as a bariatric surgery is a safe and feasible procedure for obesity with excellent short-term effects. More studies with a long-term follow-up are needed to validate its benefits.
目的
报告我们中心采用腹腔镜袖状胃切除术作为减重手术的经验。
方法
2009 年 1 月至 2010 年 10 月，我们中心对 20 例肥胖患者行腹腔镜袖状胃切除术作为减重手术，随访 1 年，评估患者的一般情况、并发症和肥胖相关疾病的改善情况。
结果
20 例患者中，19 例行腹腔镜袖状胃切除术，1 例行开放袖状胃切除术，无死亡病例。平均体重减轻 36.4±10.0kg，平均 BMI 从 46.1±11.5kg/m2 降至 33.6±5.6kg/m2，术后 1 年超重减轻 55.9%±14.2%。多数肥胖相关疾病得到改善。术后 1 年，2 例（10.0%）患者获得优秀评分，8 例（40.0%）患者获得良好评分，7 例（35.0%）患者获得较好评分，3 例（15.0%）患者获得较差评分。
结论
腹腔镜袖状胃切除术作为一种减重手术，用于肥胖症是安全可行的，具有良好的短期效果。需要更多长期随访的研究来验证其益处。
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