腹腔镜可调节胃束带术：228 例报告。

Laparoscopic adjustable gastric banding: a report of 228 cases.

机构信息

Department of General Surgery, Changhai Hospital, Shanghai, China.

出版信息

Gastroenterol Rep (Oxf). 2013 Sep;1(2):144-8. doi: 10.1093/gastro/got023. Epub 2013 Aug 11.

DOI:10.1093/gastro/got023

PMID:24759820

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3938002/

Abstract

OBJECTIVE

To evaluate the surgical outcomes and complications after laparoscopic adjustable gastric banding (LAGB) in obese patients.

METHODS

This retrospective study included 228 patients (73 males and 155 females, mean age, 32.5 ± 10.3 years) who underwent LAGB at the Changhai Hospital of the Second Military Medical University from June 2003 to June 2011. The body weight and postoperative complications were followed up.

RESULTS

The pre-operative mean body mass index (BMI) was 39.5 ± 6.3 kg/m(2). Except in one case of inadequate exposure of the stomach, all laparoscopic procedures were successfully accomplished, with no conversion to open surgery. The mean operation time was 65.0 ± 20.3 min. The mean hospital stay was 2.7 ± 0.9 days. Early postoperative complications (<30 days) occurred in five cases (2.2%) and late complications (>30 days) occurred in 75 cases (32.9%), including 56 cases (24.6%) with band-associated complications. The percentage of excess weight loss (EWL%) at 1, 3 and 5 years was 40.5 ± 30.5%, 59.5 ± 41.5% and 58.9 ± 46.4%, respectively. The percentages of patients with EWL% >25%, >50% and >75% were, respectively, 60%, 33% and 0% at 1 year follow-up, 43%, 39%, and 16% at 3 years follow-up and 40%, 34% and 16% at 5 years follow-up. CONCLUSION Although LAGB has low peri-operative mortality and morbidity rates, it is associated with a high late complication rate and unsatisfactory weight loss. It may be optional, but not the first choice, for the treatment of obesity.

摘要

目的

评估腹腔镜可调胃束带术（LAGB）治疗肥胖患者的手术效果和并发症。

方法

本回顾性研究纳入 2003 年 6 月至 2011 年 6 月在第二军医大学长海医院接受 LAGB 的 228 例患者（73 例男性，155 例女性，平均年龄 32.5±10.3 岁）。随访患者体重和术后并发症。

结果

术前平均体重指数（BMI）为 39.5±6.3kg/m2。除 1 例因胃暴露不足而中转开腹外，所有腹腔镜手术均成功完成，无中转开腹。平均手术时间为 65.0±20.3min。平均住院时间为 2.7±0.9 天。术后早期（<30 天）并发症 5 例（2.2%），晚期（>30 天）并发症 75 例（32.9%），其中带相关并发症 56 例（24.6%）。术后 1、3 和 5 年时的体重减轻百分比（EWL%）分别为 40.5±30.5%、59.5±41.5%和 58.9±46.4%。术后 1 年时 EWL%>25%、>50%和>75%的患者比例分别为 60%、33%和 0%，术后 3 年时分别为 43%、39%和 16%，术后 5 年时分别为 40%、34%和 16%。