Hussain Abdulzahra, Vasas Peter, Kirk Katie, Finney John, Balchandra Srinivasan
Bariatric Unit, General Surgery Department, Doncaster Royal Infirmary, Doncaster, UK.
Surg Laparosc Endosc Percutan Tech. 2017 Jun;27(3):119-122. doi: 10.1097/SLE.0000000000000400.
The purpose of this paper is to study the causes of leaks following sleeve gastrectomy (SG).
Pubmed was searched during January 2016 for publications reporting leak after SG. A total of 205 publications were identified, of which 17 papers were selected.
In about 3018 patients, reinforcement was used compared with 4595 patients, in whom no reinforcement was applied; both groups were representing matched bariatric populations. The use of reinforcement/buttressing has resulted in different rates of leaks ranging from 0% to 3.9%; whereas with no reinforcement/buttressing, the leak rate was 0.16% to 3.5%. The use of reinforcement/buttressing did not result in reduction of leak to a statistical significance although the trend was suggesting so (P=0.06), whereas no reinforcement/buttressing did not statistically increase the leak rate (P=0.10).
No statistical significant difference of leak with or without reinforcement. This mean case complexity and surgical technique and experience are the sole factors for leaks following SG.
本文旨在研究袖状胃切除术（SG）后发生渗漏的原因。
于2016年1月在PubMed上检索关于SG术后渗漏报道的文献。共识别出205篇文献，从中选取了17篇论文。
约3018例患者使用了加固材料，4595例患者未使用加固材料；两组均为匹配的肥胖症患者群体。使用加固/支撑材料导致的渗漏率在0%至3.9%之间；而未使用加固/支撑材料时，渗漏率为0.16%至3.5%。使用加固/支撑材料虽有使渗漏减少的趋势（P = 0.06），但未达到统计学显著差异，而未使用加固/支撑材料也未在统计学上增加渗漏率（P = 0.10）。
使用或不使用加固材料在渗漏方面无统计学显著差异。这意味着病例复杂性、手术技术和经验是SG术后发生渗漏的唯一因素。
