Isil Riza Gurhan, Mihmanli Mehmet, Yazici Pinar, Isil Canan Tulay, Demir Uygar, Kaya Cemal, Bostanci Ozgur
Ann Ital Chir. 2018;89:406-412.
Roux-en-Y gastric bypass (RYGB) has been considered as the most efficient method in bariatric surgery. Indeed, Laparoscopic Sleeve Gastrectomy (LSG) which is easier to do, has been increasingly used in the recent years. The aim of the present study was to compare short-and mid-term outcomes of RYGB and LSG.
Medical records of 62 patients who underwent either RYGB (GroupR) or LSG (GroupL) in our General Surgery Department between 2010 and 2013 were retrospectively reviewed. Demographics, comorbidities, preoperative laboratory values, length of hospital stay and postoperative complications were recorded. During follow-up in the postoperative period, body-mass-index (BMI), excess weight loss (EWL), triglyceride levels (TG), and low-density lipoprotein (LDL) levels were recorded at the 1st, 3rd, 6th, and 12th months.
Mean length of hospital stay was significantly higher in GroupR (p = 0.001), which was also correlated with BMI. EWL at 1st, 3rd, 6th, and 12th months was significantly higher in GroupR. Hair loss was significantly higher in GroupR (p < 0.05). The rates of diabetes mellitus and hypertension in the preoperative period and at 6th and 12th months did not significantly differ between the groups. Preoperative TG and LDL values were significantly higher in GroupR (p < 0.05).
This study indicated, that RYGB is statistically more effective than LSG, but LSG has clinically almost the same effect as RYGB, and also hospital stay, postoperative complications as hair loss are decreased in LSG.
Laparoscopic Sleeve Gastrectomy, Morbid Obesity, Roux-en-Y Gastric Bypass.
Roux-en-Y胃旁路术（RYGB）一直被认为是减肥手术中最有效的方法。事实上，近年来，操作相对简单的腹腔镜袖状胃切除术（LSG）的应用越来越广泛。本研究的目的是比较RYGB和LSG的短期及中期疗效。
回顾性分析了2010年至2013年期间在我院普通外科接受RYGB（R组）或LSG（L组）手术的62例患者的病历。记录患者的人口统计学资料、合并症、术前实验室检查值、住院时间和术后并发症。术后随访期间，在第1、3、6和12个月记录体重指数（BMI）、超重减轻（EWL）、甘油三酯水平（TG）和低密度脂蛋白（LDL）水平。
R组的平均住院时间显著更长（p = 0.001），且与BMI相关。R组在第1、3、6和12个月时的EWL显著更高。R组的脱发发生率显著更高（p < 0.05）。两组术前、术后6个月和12个月时的糖尿病和高血压发生率无显著差异。R组术前的TG和LDL值显著更高（p < 0.05）。
本研究表明，RYGB在统计学上比LSG更有效，但LSG在临床上与RYGB的效果几乎相同，且LSG的住院时间、术后并发症如脱发等更少。
腹腔镜袖状胃切除术；病态肥胖；Roux-en-Y胃旁路术
