Division of Gastrointestinal Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
University of South Florida Morsani College of Medicine, 560 Channelside Dr, Tampa, FL, 33602, USA.
Obes Surg. 2023 Dec;33(12):4103-4114. doi: 10.1007/s11695-023-06884-w. Epub 2023 Oct 14.
The optimal distance between the starting point of gastric transection and the pylorus during laparoscopic sleeve gastrectomy (LSG), which can be referred to as the distance from pylorus (DFP), is controversial. No consensus exist for what DFP is considered antral preservation, and what DFP is considered antral resection. Some surgeons prefer shorter DFP to maximize excess weight loss percentage (EWL%), while others prefer longer DFP because they believe that it shortens length of stay (LOS) and protects against leaks, prolonged vomiting, and gastroesophageal reflux disease (GERD). We sought to compare 6-cm DFP and 2-cm DFP in postoperative outcomes. In addition, we sought to evaluate the magnitude of any observed benefit through number needed to treat (NNT) analysis.
腹腔镜袖状胃切除术（LSG）中胃切断起点与幽门之间的最佳距离（DFP）存在争议。对于什么是胃窦保留、什么是胃窦切除，尚无共识。一些外科医生更喜欢较短的 DFP，以最大限度地提高超重减轻百分比（EWL%），而另一些外科医生则更喜欢较长的 DFP，因为他们认为这可以缩短住院时间（LOS）并防止漏液、长时间呕吐和胃食管反流病（GERD）。我们旨在比较 6cmDFP 和 2cmDFP 的术后结果。此外，我们还通过需要治疗的人数（NNT）分析来评估任何观察到的益处的程度。
