Ann Ital Chir. 2023;94:11-18.
The safety and effectiveness of MGB versus LSG remain unclear. In this study, we It has been shown by many clinical studies that laparoscopic sleeve gastrectomy (LSG) and mini-gastric bypass (MGB), two current methods in metabolic surgery, may be alternatives to Roux-en-Y gastric aimed to compare the postoperative outcomes of MGB and LSG procedures performed in bariatric surgery.
A total of 175 patients who underwent MGB and LSG surgery between 2016 and 2018 at a single metabolic surgery center were analyzed retrospectively. Two surgical procedures were compared in terms of the perioperative, early and late postoperative outcomes.
There were 121 patients in the MGB group and 54 patients in the LSG group. No significant difference was found between the groups regarding the operating time, the conversion to open surgery and the early postoperative complications (p>0.05). The length of hospital stay was significantly shorter in the MGB group (p:0.001). The excess weight loss (EWL%) and total weight loss (TWL%) were significantly higher in the MGB group (90.3 vs. 79.2; and 36.4 vs 30.5, respectively). No significant difference was found between the two groups in terms of the remission rates of comorbidities. The symptoms of gastroesophageal reflux were observed in a significantly fewer number of the patients in the MGB group (6 patients 4.9% vs. 10 patients 18.5%).
Both LSG and MGB are effective, reliable, and useful methods in metabolic surgery. The MGB procedure is superior to the LSG in terms of the length of hospital stay, EWL%, TWL% and the postoperative gastroesophageal reflux symptoms.
Metabolic surgery, Mini gastric bypass, Postoperative outcomes, Sleeve gastrectomy.
MGB 与 LSG 的安全性和有效性尚不清楚。本研究旨在比较减重手术中两种当前方法（腹腔镜袖状胃切除术（LSG）和迷你胃旁路术（MGB））的术后结果。
回顾性分析了 2016 年至 2018 年期间在一家代谢手术中心接受 MGB 和 LSG 手术的 175 例患者。比较了两种手术方法在围手术期、早期和晚期术后结果方面的差异。
MGB 组 121 例，LSG 组 54 例。两组患者的手术时间、中转开腹率及早期术后并发症差异均无统计学意义（p>0.05）。MGB 组患者的住院时间明显缩短（p：0.001）。MGB 组的额外体重减轻率（EWL%）和总体重减轻率（TWL%）明显高于 LSG 组（90.3% vs. 79.2%和 36.4% vs. 30.5%）。两组在并发症缓解率方面差异无统计学意义。MGB 组胃食管反流症状的患者明显较少（6 例 4.9% vs. 10 例 18.5%）。
LSG 和 MGB 都是代谢手术中有效、可靠和有用的方法。MGB 术在住院时间、EWL%、TWL%和术后胃食管反流症状方面优于 LSG 术。
代谢手术；迷你胃旁路术；术后结果；袖状胃切除术。
