Liu Runkun, Guo Yixian, Yin Guozhi, Tuo Hang, Zhu Yifeng, Yang Wei, Wang Yufeng
Department of Hepatobiliary Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, Shaanxi, China.
Heliyon. 2024 Feb 22;10(5):e26875. doi: 10.1016/j.heliyon.2024.e26875. eCollection 2024 Mar 15.
Bariatric surgeries, including the sleeve gastrectomy, have been recognized as the most effectively treatment strategy for severe obesity. Magnetic devices have been successfully used in bariatric surgeries. Here, we intended to evaluate the safety and efficiency of magnetic anchoring device assisted-laparoscopic sleeve gastrectomy (MLSG), and to make a comparison of the short-term results between conventional laparoscopic sleeve gastrectomy (CLSG) and MLSG.
The retrospective cohort study was carried out by analyzing and summarizing the data from a database of routinely collected data. The cohort included the patients who underwent either CLSG ( = 120) or MLSG ( = 115) at a single center between January 2018 and December 2020 with a two-year follow-up. The effects of these two surgeries on the weight loss, resolution of comorbidities and quality of life (QOL) were analyzed.
The two groups were similar in gender, age, body mass index, abdominal girth, as well as the type and proportion of comorbidities. And the cases in MLSG group had a markedly shorter time of operation (MLSG, 72.59 min vs. CLSG, 76.67 min; = 0.003). Length of stay in hospital was significantly shorter in the MLSG group than that in the CLSG group (MLSG, 5.59 days vs. CLSG, 5.96 days; = 0.016). Neither fatal event nor conversion to open surgery happened among all cases. There were no differences in terms of the postoperative complications between the two groups. Magnetic device-related mild hepatic lacerations occurred and were handled by hemostatic treatments in 3 cases. The QOL of patients in MLSG was better at 6-month after surgery, but there was no significant difference between the two groups at 1-year or 2-year after surgery.
Both MLSG and CLSG prove safe and effective, and the patients underwent MLSG have a shorter length of stay in hospital, and a better QOL during 6 months after surgery.
包括袖状胃切除术在内的减肥手术已被公认为治疗重度肥胖最有效的策略。磁性装置已成功应用于减肥手术。在此，我们旨在评估磁性锚定装置辅助腹腔镜袖状胃切除术（MLSG）的安全性和有效性，并比较传统腹腔镜袖状胃切除术（CLSG）和MLSG的短期结果。
通过分析和总结常规收集数据的数据库中的数据进行回顾性队列研究。该队列包括2018年1月至2020年12月在单一中心接受CLSG（n = 120）或MLSG（n = 115）且进行了两年随访的患者。分析了这两种手术对体重减轻、合并症缓解和生活质量（QOL）的影响。
两组在性别、年龄、体重指数、腹围以及合并症的类型和比例方面相似。MLSG组的手术时间明显更短（MLSG，72.59分钟 vs. CLSG，76.67分钟；P = 0.003）。MLSG组的住院时间明显短于CLSG组（MLSG，5.59天 vs. CLSG，5.96天；P = 0.016）。所有病例均未发生致命事件或转为开放手术。两组术后并发症方面无差异。发生了3例与磁性装置相关的轻度肝裂伤，经止血治疗处理。MLSG组患者术后6个月的生活质量较好，但术后1年或2年两组之间无显著差异。
MLSG和CLSG均证明安全有效，接受MLSG的患者住院时间较短，术后6个月生活质量较好。
