Sakran Nasser, Haj Bassel, Pouwels Sjaak, Buchwald Jane N, Abo Foul Salma, Parmar Chetan, Awad Ali, Arraf Jabra, Omari Abdallah, Hamoud Mohamad
Department of Surgery, Holy Family Hospital, Nazareth.
The Azrieli, Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Surg Laparosc Endosc Percutan Tech. 2023 Apr 1;33(2):162-170. doi: 10.1097/SLE.0000000000001148.
One-anastomosis gastric bypass (OAGB) has become an accepted metabolic/bariatric surgery procedure. This study aimed to describe our center's standardized OAGB operative technique and report early (≤30 d) safety outcomes in patients with severe obesity.
The medical records of patients who had undergone either primary (n=681, 88.0%) or revisional OAGB (n=93, 12.0%) were retrospectively evaluated. Patient demographics, operative time, length of hospital stay, readmissions, reoperations, and ≤30-day morbidity and mortality rates were analyzed.
A total of 774 consecutive patients with severe obesity (647 female, 83.6%) underwent OAGB between January 2016 and December 2021. Their mean age was 36.2±10.8 years (range: 18 to 70 y) and mean body mass index was 42.7±4.2 kg/m 2 (range: 17.2 to 61 kg/m 2 ). Mean operating time was 52.6±19.9 minutes (range: 25 to 295 min) and length of hospital stay was 1.6±0.9 days (range: 1 to 9 d). Early postoperative complications occurred in 16 cases (2.1%), including 2 leaks with an intra-abdominal abscess (0.3%), bleeding (n=3, 0.4%), acute kidney failure (n=1, 0.15%), urinary tract infection (n=2, 0.3%), and intensive care unit stay (n=4, 0.5%). Seventy patients (9.1%) were readmitted, and re-laparoscopy was performed in 1 patient (0.1%). There was no mortality.
In the very early term, OAGB was a safe primary and revisional metabolic/bariatric surgery operation. Consistent performance of a standardized OAGB procedure contributed to low rates of morbidity and mortality in the hands of metabolic/bariatric surgeons with good laparoscopic skills at a high-volume center.
单吻合口胃旁路术（OAGB）已成为一种被认可的代谢/减重手术术式。本研究旨在描述我们中心标准化的OAGB手术技术，并报告重度肥胖患者的早期（≤30天）安全结局。
回顾性评估接受初次（n = 681，88.0%）或翻修性OAGB（n = 93，12.0%）的患者的病历。分析患者的人口统计学特征、手术时间、住院时间、再入院情况、再次手术情况以及≤30天的发病率和死亡率。
2016年1月至2021年12月期间，共有774例连续的重度肥胖患者（647例女性，83.6%）接受了OAGB手术。他们的平均年龄为36.2±10.8岁（范围：18至70岁），平均体重指数为42.7±4.2kg/m²（范围：17.2至61kg/m²）。平均手术时间为52.6±19.9分钟（范围：25至295分钟），住院时间为1.6±0.9天（范围：1至9天）。术后早期并发症发生16例（2.1%），包括2例吻合口漏伴腹腔内脓肿（0.3%）、出血（n = 3，0.4%）、急性肾衰竭（n = 1，0.15%）、尿路感染（n = 2，0.3%）以及入住重症监护病房（n = 4，0.5%）。70例患者（9.1%）再次入院，1例患者（0.1%）接受了再次腹腔镜检查。无死亡病例。
在极早期，OAGB是一种安全的初次及翻修性代谢/减重手术操作。在一个高容量中心，由具备良好腹腔镜技术的代谢/减重外科医生持续实施标准化的OAGB手术，有助于降低发病率和死亡率。
