Ali Manzar, Khan Safdar Ali, Mushtaq Muhammad, Haider Syed Aftab
General and Colorectal Surgery, Ibn-e-Siena Hospital and Research Institute, Multan, PAK.
General Surgery, Ibn-e-Siena Hospital and Research Institute, Multan, PAK.
Cureus. 2021 Mar 21;13(3):e14022. doi: 10.7759/cureus.14022.
Introduction The objective of our study was to compare the 30-day post-operative outcomes of laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). Materials and Methods This randomized controlled study contained patients who underwent bariatric surgery from June 13, 2018 to October 12, 2019. A total of 116 patients having body mass index (BMI) > 35 kg/m (morbidly obese), age 18 to 65 years and with failure of conservative treatment were included. Group I patients underwent bariatric surgery using LRYGB technique while group II patients underwent bariatric surgery using the LSG technique. All patients were followed 30 days after surgery to determine early post-operative outcomes. Results The demographic profile, such as age and BMI, was similar between the groups. The mean operating time was 72 ±12 minutes in the LSG group and 156 ± 18 min in the LRYGB group (p-value 0.0001). Major complications were seen in five (8.62%) patients in LSG patients and in four (6.89%) patients in LRYGB group (p-value 0.12). Minor complications were seen in 21 (36.2%) patients in LSG group and in 19 (32.75%) patients in LRYGB group (p-value 0.15). The length of stay in the hospital in LSG group was 6.2±4.2 versus 9.4± 4.6 (p-value 0.0002). Conclusion Both LRYGB and LSG are effective and safe bariatric procedures with a similar incidence of major complications. However, LSG is associated with shorter operative time and hospital stay. Long-term follow-up studies are required to compare the effectiveness of these procedures.
引言 我们研究的目的是比较腹腔镜袖状胃切除术（LSG）和腹腔镜Roux-en-Y胃旁路术（LRYGB）术后30天的结果。
材料与方法 这项随机对照研究纳入了2018年6月13日至2019年10月12日接受减肥手术的患者。共纳入116例体重指数（BMI）> 35 kg/m²（病态肥胖）、年龄18至65岁且保守治疗失败的患者。第一组患者采用LRYGB技术进行减肥手术，而第二组患者采用LSG技术进行减肥手术。所有患者术后随访30天以确定早期术后结果。
结果 两组患者的人口统计学特征，如年龄和BMI，相似。LSG组的平均手术时间为72±12分钟，LRYGB组为156±18分钟（p值0.0001）。LSG组有5例（8.62%）患者出现主要并发症，LRYGB组有4例（6.89%）患者出现主要并发症（p值0.12）。LSG组有21例（36.2%）患者出现轻微并发症，LRYGB组有19例（32.75%）患者出现轻微并发症（p值0.15）。LSG组的住院时间为6.2±4.2天，而LRYGB组为9.4±4.6天（p值0.0002）。
结论 LRYGB和LSG都是有效且安全的减肥手术，主要并发症发生率相似。然而，LSG的手术时间和住院时间更短。需要进行长期随访研究以比较这些手术的有效性。
