Department of Digestive Surgery, University Hospital of Caen, Avenue de la Côte de Nacre, 14033, Caen cedex, France.
ANTICIPE INSERM U 1086, Avenue du Général Harris, Centre François Baclesse, 14045, Caen cedex, France.
Obes Surg. 2020 Dec;30(12):5059-5070. doi: 10.1007/s11695-020-04994-3. Epub 2020 Oct 8.
To evaluate, mid-term outcomes between elderly patients (EP, i.e., age > 60 years old) and young patients (YP, i.e., age < = 60 years old) who underwent laparoscopic bariatric surgery. Studies comparing EP versus YP for bariatric surgery published until April 2020 were selected and submitted to a systematic review and meta-analysis. After LSG, overall morbidity and specific post-operative complication rates (i.e., leak, abscess, hemorrhage, and reoperation) were significantly more frequent in EP compared with those in YP. Surgical outcomes were similar between EP and YP after LRYGB. Both procedures achieved weight loss, but it was statistically greater in YP compared with that in EP. In summary, this meta-analysis suggests that laparoscopic bariatric surgery is a safe and effective treatment in EP compared with that in YP.
评估行腹腔镜减重手术的老年患者（EP，即年龄＞60 岁）和年轻患者（YP，即年龄≤60 岁）的中期结局。选择并提交了截至 2020 年 4 月比较 EP 与 YP 行减重手术的研究，进行系统评价和荟萃分析。与 YP 相比，LSG 后 EP 的总体发病率和特定术后并发症发生率（即漏、脓肿、出血和再次手术）明显更高。LRYGB 后 EP 和 YP 的手术结局相似。两种手术都能实现减重，但 YP 比 EP 的减重效果更显著。综上所述，这项荟萃分析表明，与 YP 相比，腹腔镜减重手术在 EP 中是一种安全有效的治疗方法。
