胃癌外科医生实施腹腔镜袖状胃切除术的病态肥胖患者的早期临床结局：连续50例病例分析。

Early Clinical Outcomes of the Morbidly Obese Patients Who Underwent Laparoscopic Sleeve Gastrectomy by Gastric Cancer Surgeons: the Analysis of Fifty Consecutive Cases.

作者信息

Ko Chang Seok, Jheong Jin Ho, Jeong Seong-A, Gong Chung Sik, Lee In-Seob, Kim Beom Su, Kim Byung Sik, Park Hye Soon, Min Se Hee, Yoo Moon-Won

机构信息

Department of Stomach Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

J Metab Bariatr Surg. 2021 Dec;10(2):66-73. doi: 10.17476/jmbs.2021.10.2.66. Epub 2021 Dec 21.

DOI:10.17476/jmbs.2021.10.2.66

PMID:36683669

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9847638/

Abstract

PURPOSE

The number of bariatric surgeries performed at our tertiary hospital has gradually increased since the national health insurance began to cover their expenses in January of 2019. This study examined the early surgical outcomes of laparoscopic sleeve gastrectomy (LSG) performed by experienced gastric cancer surgeons.

MATERIALS AND METHODS

We retrospectively reviewed and analyzed data from 50 patients who underwent LSG between November of 2018 and April of 2020 at the Asan Medical Center by 1 of 5 experienced surgeons each of whom performed approximately 100-300 cases of gastrectomy annually. The age, body mass index (BMI), weight, presence of comorbidities, operation time, hospital stay after surgery, postoperative complications, postoperative excess weight loss (EWL), and resolution of comorbidities were examined.

RESULTS

The mean age, BMI, and weight were 37.29±9.77 years, 37.12 kg/m, and 102.00 kg, respectively. The mean operation time and postoperative length of hospital stay were 109.59±35.88 and 5.06±1.20 days, respectively. Two patients (4.00%) had early postoperative complications and postoperative leakage; bleeding and stenosis were not reported. The EWL after 1 and 6 months of operation was 26.55% and 60.34%, respectively. The resolution of diabetes, hypertension, and dyslipidemia after 6 months of operation was 88.89%, 54.54%, and 50.00%, respectively.

CONCLUSION

LSG is safe and effective when performed by an experienced gastric cancer surgeon; however, a long-term follow-up of patients is required.

摘要

目的

自2019年1月国家医疗保险开始覆盖减重手术费用以来，我院三级医院进行的减重手术数量逐渐增加。本研究调查了由经验丰富的胃癌外科医生实施的腹腔镜袖状胃切除术（LSG）的早期手术效果。

材料与方法

我们回顾性分析了2018年11月至2020年4月在峨山医疗中心接受LSG手术的50例患者的数据，这50例患者由5位经验丰富的外科医生之一实施手术，每位医生每年大约进行100 - 300例胃切除术。我们考察了患者的年龄、体重指数（BMI）、体重、合并症情况、手术时间、术后住院时间、术后并发症、术后超重减轻（EWL）情况以及合并症的缓解情况。

结果

患者的平均年龄、BMI和体重分别为37.29±9.77岁、37.12 kg/m²和102.00 kg。平均手术时间和术后住院时间分别为109.59±35.88分钟和5.06±1.20天。2例患者（4.00%）出现术后早期并发症及术后渗漏；未报告出血和狭窄情况。术后1个月和6个月的EWL分别为26.55%和60.34%。术后6个月糖尿病、高血压和血脂异常的缓解率分别为88.89%、54.54%和50.00%。