Ma Yuanyuan, Fan Yu, Zhou Di, Chen Junjun, Ge Shengjin
Department of Anesthesia, Zhongshan Hospital, Fudan University, Shanghai, China.
PeerJ. 2021 Feb 3;9:e10802. doi: 10.7717/peerj.10802. eCollection 2021.
This study aims to summarize and analyze the clinical characteristics and outcomes of severely obese patients who underwent laparoscopic sleeve gastrectomy (LSG) under general anesthesia with multidisciplinary collaboration.
A retrospective analysis was performed for 100 severely obese patients who were hospitalized in Zhongshan Hospital, Fudan University from January 2017 to December 2019, and included preoperative general information, laboratory examinations, anesthesia and outcomes.
A total of 100 patients (46 males, 54 females) were admitted to the department of endocrinology: 100 had hepatic steatosis (100%), 43 had sleep apnea hypopnea syndrome (43%), 25 had hypertension (25%), 11 had type 2 diabetes (11%) and 8 had polycystic ovary syndrome (14% of women). The mean age and BMI were 31.52 ± 10.53 years and 43.31 ± 6.80 kg/m, respectively. Visual laryngoscope intubation was successfully performed with routine intravenous induction in the optimum sniffing position at one time. The surgeries were successfully performed under general anesthesia, without conversion, and the operation time was 140.92 ± 31.23 min. The follow-up data for 41 patients were obtained. The postoperative BMI showed a downward trend. The BMI at 1 month and 3 months after surgery were 38.40 ± 6.77 kg/mand 35.52 ± 7.94 kg/m, respectively.
Multidisciplinary collaboration may contribute to better management and recovery during the perioperative period. Visual laryngoscope intubation with intravenous induction was performed successfully in the optimum sniffing position at one time.
本研究旨在总结和分析在多学科协作下接受全身麻醉的腹腔镜袖状胃切除术（LSG）的重度肥胖患者的临床特征及预后。
对2017年1月至2019年12月在复旦大学附属中山医院住院的100例重度肥胖患者进行回顾性分析，内容包括术前一般资料、实验室检查、麻醉情况及预后。
内分泌科共收治100例患者（男46例，女54例）：100例有肝脂肪变性（100%），43例有睡眠呼吸暂停低通气综合征（43%），25例有高血压（25%），11例有2型糖尿病（11%），8例有多囊卵巢综合征（占女性患者的14%）。平均年龄和体重指数分别为31.52±10.53岁和43.31±6.80kg/m²。在最佳嗅物位采用常规静脉诱导，一次性成功完成可视喉镜插管。手术均在全身麻醉下顺利完成，无中转，手术时间为140.92±31.23分钟。获得了41例患者的随访数据。术后体重指数呈下降趋势。术后1个月和3个月时的体重指数分别为38.40±6.77kg/m²和35.52±7.94kg/m²。
多学科协作可能有助于围手术期更好的管理和恢复。在最佳嗅物位采用静脉诱导一次性成功完成可视喉镜插管。
