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患者和外科医生相关因素对腹腔镜袖状胃切除术减肥效果的影响——单中心研究。

Impact of Patient- and Surgeon-Related Factors on Weight Loss after Laparoscopic Sleeve Gastrectomy-A Single-Center Study.

机构信息

Department of General and Oncological Surgery, Regional Health Centre, 59-300 Lubin, Poland.

Department of General, Minimally Invasive and Elderly Surgery, University of Warmia and Mazury in Olsztyn, Niepodleglosci 44 Str., 10-045 Olsztyn, Poland.

出版信息

Medicina (Kaunas). 2024 Sep 4;60(9):1450. doi: 10.3390/medicina60091450.

Abstract

: Surgical treatment for obesity is becoming increasingly popular. Surgeons have been trying to find a simple way to predict the type of surgical intervention that is best for a specific patient. This study aimed to determine the patient- and surgeon-related factors that affect weight loss after laparoscopic sleeve gastrectomy (LSG). : A total of 129 patients underwent LSG in one surgical department. The following factors were analyzed: gender; age; highest preoperative and 6-month postoperative weight; the occurrence of obesity-related diseases, such as type 2 diabetes and hypertension; the number of surgeons involved in the surgery; and who performed the surgery, a resident or specialist. The outcomes also included length of hospital stay, operative time and complications. Statistical significance was defined as ≤ 0.05. : A total of 129 patients (94 female) with a median age of 43 years and BMI of 43.1 kg/m underwent LSG, while a total of 109 (84.5%) patients achieved ≥50% of excess BMI loss (%EBMIL). Preoperative weight loss had no impact on %EBMIL ( = 0.95), operative time ( = 0.31) and length of hospital stay ( = 0.2). Two versus three surgeons in the operating team had no impact on surgery time ( = 0.1), length of stay ( = 0.98) and %EBMIL ( = 0.14). The operative time and length of hospital stay were similar for specialists and surgeons in training. %EBMIL was higher in the residents' surgery without statistical significance ( = 0.19). Complications occurred in 3.9% without mortality or leaks. : Preoperative comorbidities, surgeons' experience and the number of surgeons in the operating team do not impact the complication rate, length of hospital stay, operative time and postoperative weight loss after LSG.

摘要

: 肥胖的外科治疗越来越受欢迎。外科医生一直在试图寻找一种简单的方法来预测哪种手术干预最适合特定的患者。本研究旨在确定影响腹腔镜袖状胃切除术(LSG)后体重减轻的患者和外科医生相关因素。: 在一个外科部门,共有 129 名患者接受了 LSG。分析了以下因素:性别;年龄;术前最高和 6 个月后体重;肥胖相关疾病(如 2 型糖尿病和高血压)的发生情况;参与手术的外科医生人数;以及谁进行了手术,是住院医师还是专家。手术结果还包括住院时间、手术时间和并发症。统计学意义定义为 ≤ 0.05。: 共有 129 名(94 名女性)患者年龄中位数为 43 岁,BMI 为 43.1 kg/m2 ,接受了 LSG,共有 109 名(84.5%)患者实现了 ≥50%的超重体重减轻(%EBMIL)。术前体重减轻对%EBMIL(= 0.95)、手术时间(= 0.31)和住院时间(= 0.2)没有影响。手术团队中两名外科医生与三名外科医生没有影响手术时间(= 0.1)、住院时间(= 0.98)和%EBMIL(= 0.14)。专家和受训外科医生的手术时间和住院时间相似。在没有统计学意义的情况下,住院医师手术的%EBMIL 更高(= 0.19)。并发症发生率为 3.9%,无死亡或漏诊。: 术前合并症、外科医生经验和手术团队中的外科医生数量不会影响 LSG 后的并发症发生率、住院时间、手术时间和术后体重减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7493/11434286/4df680cae138/medicina-60-01450-g001.jpg

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