Hosseini Seyed Vahid, Hosseini Seyed Ali, Al-Hurry Ahmed Mohammed Ali Hussein, Khazraei Hajar, Ganji Fatemeh, Sadeghi Fatemeh
Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Surgery, Najaf University of Medical Sciences, Kerbala, Iraq.
Iran J Med Sci. 2017 May;42(3):251-257.
In recent years, laparoscopic sleeve gastrectomy (LSG) has become more acceptable for obese patients. Single-port sleeve gastrectomy (SPSG) is more popular since each abdominal incision carries the risk of bleeding, hernia, and internal organ injury as well as exponentially affecting cosmesis. This cross-sectional study aimed at comparing multi-port sleeve gastrectomy (MPSG) and SPSG in terms of their early results and complications.
Out of129 obese patients candidated for LSG, 102 patients were assigned to 2 groups of SPSG and MPSG. Complications and demographic data such as body mass index (BMI), age, gender, operation time, and hospital stay were measured. All surgeries were carried out between2013 and 2015 in Shiraz, Iran. Data analysis was performed using SPSS, version 16 for Windows (SPSS Inc., Chicago, IL). The continuous and categorical variables were compared using the Student -test and the Chi-square test or the Fisher exact test, respectively.
The patients' data from both groups were similar in terms of age, intraoperative and postoperative bleeding volume, and length of hospital stay. Mean BMI was 42.8±0.7 in the SPSG group and 45.3±1.2 in the MPSG group. Duration of surgery was significantly lower in the SPSG group (P<0.001). Only 1 patient from the SPSG group and 5 patients from the MPSG group had bleeding as an early complication.
The differences in each complication between the groups were not statistically significant. SPSG seems to be safe and is the same as MPSG in terms of major postoperative complications.
IRCT201512229936N12 The abstract was presented in the 4 International Congress of Minimally Invasive Surgery, Iran, as a poster and published in as a supplement (May 2015; Vol. 40, No. 3).
近年来，腹腔镜袖状胃切除术（LSG）已为肥胖患者所更广泛接受。单孔袖状胃切除术（SPSG）更受欢迎，因为每个腹部切口都有出血、疝气和内脏损伤的风险，并且对美观有极大影响。本横断面研究旨在比较多端口袖状胃切除术（MPSG）和SPSG的早期结果及并发症。
在129例符合LSG条件的肥胖患者中，102例患者被分为SPSG和MPSG两组。测量并发症及人口统计学数据，如体重指数（BMI）、年龄、性别、手术时间和住院时间。所有手术于2013年至2015年在伊朗设拉子进行。使用适用于Windows的SPSS 16版软件（SPSS公司，伊利诺伊州芝加哥）进行数据分析。连续变量和分类变量分别使用Student检验和卡方检验或Fisher精确检验进行比较。
两组患者在年龄、术中及术后出血量和住院时间方面的数据相似。SPSG组的平均BMI为42.8±0.7，MPSG组为45.3±1.2。SPSG组的手术时间明显更短（P<0.001）。SPSG组仅有1例患者、MPSG组有5例患者出现出血这一早期并发症。
两组间每种并发症的差异无统计学意义。SPSG似乎是安全的，在主要术后并发症方面与MPSG相同。
IRCT201512229936N12 该摘要在伊朗第四届微创外科学国际大会上以海报形式展示，并于2015年5月作为增刊发表（第40卷，第3期）。
