Departments of General Surgery.
Anesthesia and Reanimation, Bakirköy Dr.Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2020 Jun;30(3):263-265. doi: 10.1097/SLE.0000000000000769.
To determine the relationship between the resected gastric volume (RGV) and the results of laparoscopic sleeve gastrectomy (LSG).
The study included 333 patients with LSG. Patients were divided into 4 groups according to RGV: 600 to 999 cm as Group 1, 1000 to 1499 cm as Group 2, 1500 to 1999 cm as Group 3, and ≥2000 cm consists the Group 4. Prospectively collected data at first month, sixth month, and at first year were retrospectively reviewed. The percentage of the reduction in body mass index and the excess weight loss and remission of comorbid diseases were recorded.
Preoperative demographic data were similar within groups. No statistically significant difference was observed between the groups in terms of the changes in excess weight loss. The major complication rates were highest in Group 4 and the difference between the groups was statistically significant (P=0.012).
The results of this study showed that different RGV do not affect the results of LSG, furthermore in patients with RGV ≥2000 cm, surgeons should be careful for major complications.
确定胃切除量（RGV）与腹腔镜袖状胃切除术（LSG）结果之间的关系。
本研究纳入了 333 例接受 LSG 的患者。根据 RGV 将患者分为 4 组：600 至 999cm³为第 1 组，1000 至 1499cm³为第 2 组，1500 至 1999cm³为第 3 组，≥2000cm³为第 4 组。回顾性分析了第 1 个月、第 6 个月和第 1 年收集的前瞻性数据。记录了体重指数降低的百分比和多余体重减轻以及合并症缓解的情况。
组内术前人口统计学数据相似。各组之间多余体重减轻的变化无统计学差异。第 4 组的主要并发症发生率最高，组间差异有统计学意义（P=0.012）。
本研究结果表明，不同的 RGV 并不影响 LSG 的结果，此外，对于 RGV≥2000cm³的患者，外科医生应小心主要并发症。
