单孔袖状胃切除术与三孔腹腔镜袖状胃切除术的回顾性比较：倾向评分调整分析。
Retrospective Comparison of Single-Port Sleeve Gastrectomy Versus Three-Port Laparoscopic Sleeve Gastrectomy: a Propensity Score Adjustment Analysis.
机构信息
Department of Digestive Surgery, Centre Hospitalier Intercommunal, Poissy, France.
Department of Surgery, Regional Center for HPB Surgery, Regional Hospital of Treviso, 31100, Treviso, Italy.
出版信息
Obes Surg. 2018 Jul;28(7):2105-2112. doi: 10.1007/s11695-018-3244-6.
PURPOSE
Evaluate the efficacy of single-port sleeve gastrectomy (SPSG) and then compare it to a less-invasive sleeve approach (three-port) (3PSG) according to a propensity score (PS) matching analysis.
MATERIALS AND METHODS
We analyzed all patients who underwent SG through a three-port or a single-port laparoscopic approach.
RESULTS
After 2 years, the follow-up was completed in 84% patients treated with 3PSG and 95% patients of the SPSG group. Excess weight loss (EWL) was comparable for the first year of follow-up within the two groups except for the controls at 3 months in which the SPSG group showed a higher EWL (p = 0.0243).
CONCLUSION
We demonstrated the efficacy of SPSG in bariatric surgery even compared to another, less invasive, laparoscopic SG approach (three-port).
目的
评估单孔袖状胃切除术（SPSG）的疗效，然后根据倾向评分（PS）匹配分析将其与微创袖状胃切除术（三孔）（3PSG）进行比较。
材料和方法
我们分析了所有通过三孔或单孔腹腔镜方法进行 SG 的患者。
结果
2 年后，3PSG 组 84%的患者和 SPSG 组 95%的患者完成了随访。除了对照组在 3 个月时 SPSG 组显示出更高的 EWL（p = 0.0243）外，两组在前一年的随访中，超重减轻（EWL）是可比的。
结论
我们证明了 SPSG 在减重手术中的疗效，即使与另一种微创腹腔镜 SG 方法（三孔）相比也是如此。
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