[机械缝合与手工缝合腹腔镜单吻合口迷你胃旁路术的短期疗效]
[Short-term outcomes of mechanical and hand-sewn laparoscopic one-anastomosis mini-gastric bypass].
作者信息
Chaykin A A, Chaykin D A, Chaykin A N, Vinnik Yu S, Teplyakova O V, Beloborodov A A, Ilinov A V
机构信息
Clinical hospital «RZD-Medicine», Krasnoyarsk, Russia.
Center of Endosurgical Technologies, Krasnoyarsk, Russia.
出版信息
Khirurgiia (Mosk). 2024(4):29-37. doi: 10.17116/hirurgia202404129.
OBJECTIVE
To evaluate the short-term outcomes of mechanical and hand-sewn laparoscopic one-anastomosis mini-gastric bypass.
MATERIAL AND METHODS
There were 233 patients who underwent laparoscopic one-anastomosis mini-gastric bypass. Short-term results were analyzed in groups of mechanical (the first group, =108) and hand-sewn (the second group, =125) gastrojejunostomy. No significant between-group differences in baseline data were detected (demographic characteristics, body mass index, comorbidity and previous abdominal surgeries).
RESULTS
Surgery time and blood loss were similar in both groups. Intraoperative morbidity was 7.2-10.2% (=0.485). All complications required no surgical conversion (Satava-Kazaryan grade I). Overall postoperative morbidity was 16.0-21.3% (=0.314). Most events corresponded to Accordion grade I and had no significant effect on hospital-stay.
CONCLUSION
This study revealed no significant differences in short-term outcomes after laparoscopic one-anastomosis gastric bypass with mechanical and hand-sewn gastrojejunostomy. Further study of long-term clinical outcomes is necessary.
目的
评估机械吻合与手工缝合腹腔镜下单吻合口迷你胃旁路术的短期疗效。
材料与方法
233例患者接受了腹腔镜下单吻合口迷你胃旁路术。对机械吻合（第一组，n = 108）和手工缝合（第二组，n = 125）的胃空肠吻合术患者的短期结果进行分析。两组患者的基线数据（人口统计学特征、体重指数、合并症及既往腹部手术史）无显著差异。
结果
两组患者的手术时间和失血量相似。术中发病率为7.2 - 10.2%（P = 0.485）。所有并发症均无需中转手术（萨塔瓦 - 卡扎良一级）。总体术后发病率为16.0 - 21.3%（P = 0.314）。大多数事件相当于手风琴一级，对住院时间无显著影响。
结论
本研究表明，腹腔镜下单吻合口胃旁路术采用机械吻合与手工缝合胃空肠吻合术的短期疗效无显著差异。有必要进一步研究长期临床疗效。
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