ELSAN, Clinique St-Michel, Toulon, France.
ELSAN, Clinique St-Michel, Toulon, France.
Surg Obes Relat Dis. 2019 Jan;15(1):8-11. doi: 10.1016/j.soard.2018.10.009. Epub 2018 Nov 22.
Continuous developments in healthcare have led to an increase in average life expectancy. Obesity in aged persons is increasing and is more clearly associated with an increased risk of diabetes, cardiovascular disease, lipid abnormalities, mobility-limited problems, and other co-morbidities in this category of age.
The aim of the present study was to report the outcomes of laparoscopic sleeve gastrectomy in patients >65 years of age.
Private hospital, France.
A retrospective review was performed from patients aged >65 years who had undergone laparoscopic sleeve gastrectomy (June 2011-December 2017). The data analyzed included age, co-morbidities, preoperative body mass index, length of hospital stay, and postoperative complications.
A total of 93 patients were included with a mean age of 68.8 years (range, 65-78); 73 were female (78.5 %), and the mean preoperative body mass index was 43.6 ± 5.4 kg/m. Revisional surgery was well represented in 34.4% of cases. Thirty-two patients had a previous gastric band converted to laparoscopic sleeve gastrectomy, with 12 cases of 1-step revision (37.5%). Eleven patients (11.8%) had concomitant cholecystectomy. All procedures were performed laparoscopically with no peroperative complications. The median hospital stay was 3.1 days (1-6 d). Complications included 1 hematoma treated conservatively. The 30-day mortality rate was 0%. The mean excess weight loss at 1 year postoperatively was 67.1% (range, 34%-107%) with a follow-up rate of 78.1%. Resolution or improvement was observed in 65% of patients presenting with diabetes, in 72.5% of patients presenting with HTA, in 47.1% of patients presenting with dyslipidemia, and in 63.6% of patients presenting with sleep apnea.
Sleeve gastrectomy in elderly patients seems to be safe in terms of complications. Surgery is associated with a low-morbidity profile. Sleeve gastrectomy is our preferred procedure in this category of patients.
医疗保健的不断发展导致平均预期寿命延长。老年人肥胖症的发病率不断增加，与糖尿病、心血管疾病、血脂异常、行动受限问题以及该年龄段的其他合并症的风险增加更为密切相关。
本研究旨在报告腹腔镜袖状胃切除术在 65 岁以上患者中的治疗效果。
法国私人医院。
对 2011 年 6 月至 2017 年 12 月期间接受腹腔镜袖状胃切除术的 65 岁以上患者进行回顾性分析。分析的数据包括年龄、合并症、术前体重指数、住院时间和术后并发症。
共纳入 93 例患者，平均年龄 68.8 岁（65-78 岁）；73 例为女性（78.5%），术前平均体重指数为 43.6 ± 5.4 kg/m。再次手术在 34.4%的病例中表现良好。32 例患者的胃束带改行了腹腔镜袖状胃切除术，其中 12 例（37.5%）为 1 步修正。11 例（11.8%）患者同时行胆囊切除术。所有手术均经腹腔镜完成，无术中并发症。中位住院时间为 3.1 天（1-6 天）。并发症包括 1 例血肿保守治疗。30 天死亡率为 0%。术后 1 年的平均超重减轻率为 67.1%（34%-107%），随访率为 78.1%。糖尿病、高血压、血脂异常和睡眠呼吸暂停的患者中，65%、72.5%、47.1%和 63.6%的患者症状得到缓解或改善。
老年人行袖状胃切除术在并发症方面似乎是安全的。手术相关的发病率较低。在该患者群体中，袖状胃切除术是我们首选的手术方法。
