Jolley Jennifer, Ahmed Nida, Luu Minh B, Francescatti Amanda B, Autajay Khristi, Myers Jonathan A
Department of General Surgery, Rush University Medical Center, Chicago, IL, USA.
JSLS. 2013 Jul-Sep;17(3):385-7. doi: 10.4293/108680813X13654754535034.
Laparoscopic adjustable gastric banding is an effective and popular bariatric surgery for weight loss in obese patients that traditionally involves up to 5 incisions. Recently, a more minimally invasive single-incision technique has been developed. In this retrospective study, we compare conventional and single-incision laparoscopic adjustable gastric banding with regard to weight loss and complication rates in a cohort of demographically similar patients.
From February 2009 to February 2010, 59 patients underwent laparoscopic adjustable gastric banding by one surgeon at an outpatient surgery center. All patients were compared by age, sex, preoperative body mass index, 30-day complication rates, and excess weight loss. Thirty-seven operations were performed by a conventional, 5-incision technique, whereas 22 patients underwent the single-incision technique. The success of these techniques was determined by comparing complication rates and average percentage excess weight loss at 6-month follow-up intervals.
Patients who underwent conventional laparoscopic adjustable gastric banding had a mean age of 41.2 years and preoperative body mass index of 48.2 kg/m(2) compared with 43.9 years and 40.3 kg/m(2), respectively, for the single-incision patients. The mean operative time in the single-incision group was longer than that in the conventional group: 47.1 minutes versus 37.4 minutes (P = .0027). The overall percentage excess weight loss was not statistically different between the 2 groups for each follow-up period. There were no complications or deaths in either group.
Although patients undergoing bariatric surgery may choose the single-incision technique for cosmetic purposes, this retrospective review comparing single-incision and conventional laparoscopic adjustable gastric banding shows longer operative times with equivalent weight loss and morbidity.
腹腔镜可调节胃束带术是一种有效且常用的减肥手术，用于肥胖患者减重，传统上需要多达5个切口。最近，一种更微创的单切口技术已被开发出来。在这项回顾性研究中，我们比较了传统腹腔镜可调节胃束带术和单切口腹腔镜可调节胃束带术在一组人口统计学特征相似的患者中的减重效果和并发症发生率。
2009年2月至2010年2月，一名外科医生在门诊手术中心为59例患者实施了腹腔镜可调节胃束带术。所有患者均按照年龄、性别、术前体重指数、30天并发症发生率和超重减轻情况进行比较。37例手术采用传统的5切口技术，而22例患者接受单切口技术。通过比较6个月随访间隔期的并发症发生率和平均超重减轻百分比来确定这些技术的成功率。
接受传统腹腔镜可调节胃束带术的患者平均年龄为41.2岁，术前体重指数为48.2kg/m²，而单切口患者分别为43.9岁和40.3kg/m²。单切口组的平均手术时间比传统组更长：47.1分钟对37.4分钟（P = 0.0027）。在每个随访期，两组的总体超重减轻百分比无统计学差异。两组均无并发症或死亡病例。
尽管接受减肥手术的患者可能出于美容目的选择单切口技术，但这项比较单切口和传统腹腔镜可调节胃束带术的回顾性研究表明，单切口技术手术时间更长，而减重效果和发病率相当。
