BaMehriz Fahad, Alali Mohammed N, Arishi Hassan, Abdulfattah Faroq, Alhaizan Sarah, ElDawlatly Abdelazeem, Aldohayan Abdullah
Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Department of General Surgery, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2020 Apr-Jun;14(2):182-185. doi: 10.4103/sja.SJA_749_19. Epub 2020 Mar 5.
Bariatric surgery is an efficient and safe method of weight reduction among patients who have morbid obesity which cannot be treated by the conservative approach. Safety and feasibility of bariatric surgery among high-risk patients are understudied. Therefore, we aimed to report the patient-level characteristics and outcome among high-risk obese patients undergoing laparoscopic sleeve gastrectomy surgery in Saudi Arabia.
A retrospective analysis was performed among 13 morbidly obese (BMI >39 kg/m) patients with high-risk cardiac disease, who were referred to Upper Gastro-Intestinal Surgery Clinic at King Khalid University Hospital, which is a center of excellence in bariatric surgery, for consideration for weight loss surgery. Retrospective data on preoperative weight, height, and BMI, operative details, perioperative complications, length of stay, and information on comorbidities and endocrinal disease were collected for analysis and reporting.
A total of 13 patients were included in the analysis. Of the total, 61.5% were males with a mean age 40.38 (SD: 16.28) and a mean BMI 51.87 (SD: 7.69). The mean duration of surgery was 33.30 min (SD: 31.01), while the mean duration of anesthesia was 83.61 min (SD: 34.73). The mean length of stay was 6.76 days (SD: 3.89). Three patients required postoperative HDU admission with a mean length of stay of 1 day, while 5 patients required postoperative ICU admission with a length of stay ranging from 1 to 3 days. Within 30 days after discharge, only 1 patient required ER visit and none of the patients reported any postoperative morbidity and mortality.
Through this study, we can conclude that laparoscopic sleeve gastrectomy surgery can be considered a safe procedure. However, further studies with a large sample size and a more robust methodology are needed to build upon the findings of this study.
对于患有病态肥胖且无法通过保守方法治疗的患者，减肥手术是一种有效且安全的减肥方法。减肥手术在高危患者中的安全性和可行性研究不足。因此，我们旨在报告沙特阿拉伯接受腹腔镜袖状胃切除术的高危肥胖患者的个体特征和手术结果。
对13例患有高危心脏病的病态肥胖（BMI>39 kg/m）患者进行了回顾性分析，这些患者被转诊至沙特国王哈立德大学医院的上消化道外科诊所，该诊所是减肥手术的卓越中心，以考虑进行减肥手术。收集术前体重、身高、BMI、手术细节、围手术期并发症、住院时间以及合并症和内分泌疾病信息的回顾性数据进行分析和报告。
共有13例患者纳入分析。其中，61.5%为男性，平均年龄40.38岁（标准差：16.28），平均BMI为51.87（标准差：7.69）。平均手术时间为33.30分钟（标准差：31.01），而平均麻醉时间为83.61分钟（标准差：34.73）。平均住院时间为6.76天（标准差：3.89）。3例患者术后需要入住重症监护病房，平均住院时间为1天，而5例患者术后需要入住重症监护病房，住院时间为1至3天。出院后30天内，只有1例患者需要急诊就诊，且没有患者报告任何术后发病率和死亡率。
通过本研究，我们可以得出结论，腹腔镜袖状胃切除术可被认为是一种安全的手术。然而，需要进一步开展大样本量且方法更可靠的研究，以完善本研究的结果。
