Department of General Surgery & Obesity and Metabolic Disease Center, China-Japan Friendship Hospital, Beijing, 100029, China.
Institute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, 100029, China.
Surg Today. 2023 Jun;53(6):702-708. doi: 10.1007/s00595-022-02629-x. Epub 2023 Feb 4.
Single-incision laparoscopic surgery (SILS) has been validated as a safe approach for bariatric surgery. However, as the utilization of SILS in bariatric surgery is still limited by its disadvantages, this study analyzes the outcomes of symmetric three-port laparoscopic Roux-en-Y gastric bypass (STLGB).
The medical records of patients who underwent STLGB between January 2018 and February 2021 were analyzed retrospectively using an institutional database. The patients were divided into four groups according to their baseline body mass index (BMI). The primary endpoints were operative time, length of stay, complication rate, and weight loss 12 months after surgery.
We analyzed the records of 101 patients who underwent STLGB. There was a slight predominance of women (n = 61; 60.4%). The mean operative time was 97.16 ± 38.79 min and the length of stay in the hospital after surgery was 2.79 ± 1.4 days. One patient (0.99%) suffered a gastrojejunal anastomosis leak within 30 days of surgery. There were no significant differences in LOS, complication rate, or cosmetic score among the four groups. The mean BMI reduction was 8.67 kg/m and the % total weight loss (%TWL) was 24.37%. Weight loss measured 12 months after surgery was significantly different among the four groups.
STLGB is safe, effective, and feasible for all kinds of patients. It is reproducible with standardization of the procedure.
单切口腹腔镜手术（SILS）已被验证为一种安全的减肥手术方法。然而，由于 SILS 在减肥手术中的应用仍然受到其缺点的限制，本研究分析了对称三孔腹腔镜 Roux-en-Y 胃旁路术（STLGB）的结果。
使用机构数据库对 2018 年 1 月至 2021 年 2 月期间接受 STLGB 的患者的病历进行回顾性分析。根据基线体重指数（BMI），患者分为四组。主要终点是手术时间、住院时间、并发症发生率和术后 12 个月的体重减轻。
我们分析了 101 例接受 STLGB 的患者的记录。女性略占优势（n=61；60.4%）。平均手术时间为 97.16±38.79 分钟，术后住院时间为 2.79±1.4 天。1 例患者（0.99%）术后 30 天内发生胃空肠吻合口漏。四组间住院时间、并发症发生率或美容评分无显著差异。平均 BMI 减轻 8.67kg/m，总体重减轻百分比（%TWL）为 24.37%。四组间术后 12 个月的体重减轻差异有统计学意义。
STLGB 对所有类型的患者均安全、有效且可行。通过手术标准化，该手术具有可重复性。
