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切除胃容积/吻合器击发数量比值作为预测袖状胃切除术并发症及中期结果的一项指标

Resected gastric volume/number of staplers fired ratio as a tool in predicting complication and midterm results in sleeve gastrectomy.

作者信息

Kizilkaya Mehmet Celal, Basaran Ceren, Kalafat Utku Murat, Mutlu Arda Ulaş, Saracoglu Can, Aytac Erman

机构信息

Department of General Surgery, Acıbadem University Atakent Hospital, Istanbul, Turkey.

Defne State Hospital, Hatay, Turkey.

出版信息

Sci Rep. 2024 Dec 28;14(1):30769. doi: 10.1038/s41598-024-80600-1.

DOI:10.1038/s41598-024-80600-1
PMID:39730437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681102/
Abstract

Laparoscopic sleeve gastrectomy is a restrictive surgery that aims to decrease the gastric volume of the patient. This study hypothesized that a higher resected gastric volume to the number of fired staplers ratio is associated with improved postoperative 12th-month outcomes. To analyze the effects of resected gastric volume to the number of fired staplers ratio on postoperative results in patients who underwent sleeve gastrectomy. University Hospital, Istanbul, Türkiye. We analyzed the data of 407 patients who underwent laparoscopic sleeve gastrectomy between 2018 and 2022. The primary outcome was the effect of resected gastric volume to the number of fired staplers ratio on excess weight loss at 12 months postoperatively. A total of 407 patients were included in the study. The higher resected gastric volume to the number of fired staplers ratio was associated with higher excess weight loss in the postoperative 12th month, while no significant effect was found on complications (p = 0.001 and p = 0.785, respectively). This study revealed resected gastric volume to the number of fired staplers ratio could be used to predict weight loss. Further studies should examine the effect of resected gastric volume to number of fired staplers ratio on postoperative complications.

摘要

腹腔镜袖状胃切除术是一种旨在减少患者胃容量的限制性手术。本研究假设,切除的胃容量与使用的吻合器数量之比越高,术后12个月的效果越好。为分析切除的胃容量与使用的吻合器数量之比对接受袖状胃切除术患者术后结果的影响。土耳其伊斯坦布尔大学医院。我们分析了2018年至2022年间接受腹腔镜袖状胃切除术的407例患者的数据。主要结局是切除的胃容量与使用的吻合器数量之比对术后12个月时超重减轻的影响。共有407例患者纳入本研究。切除的胃容量与使用的吻合器数量之比越高,术后第12个月的超重减轻幅度越大,而对并发症无显著影响(分别为p = 0.001和p = 0.785)。本研究表明,切除的胃容量与使用的吻合器数量之比可用于预测体重减轻情况。进一步的研究应考察切除的胃容量与使用的吻合器数量之比对术后并发症的影响。

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本文引用的文献

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Posterior fixation of gastric tube with fibrin sealant in laparoscopic sleeve gastrectomy: a promising method to prevent revision surgeries.腹腔镜袖状胃切除术时使用纤维蛋白胶固定胃管的后固定法:一种预防翻修手术的有前途的方法。
Langenbecks Arch Surg. 2024 Feb 14;409(1):60. doi: 10.1007/s00423-024-03253-8.
2
Effect of Laparoscopic Sleeve Gastrectomy vs Roux-en-Y Gastric Bypass on Weight Loss, Comorbidities, and Reflux at 10 Years in Adult Patients With Obesity: The SLEEVEPASS Randomized Clinical Trial.腹腔镜袖状胃切除术与 Roux-en-Y 胃旁路术对肥胖成年患者体重减轻、合并症和反流的 10 年影响:SLEEVEPASS 随机临床试验。
JAMA Surg. 2022 Aug 1;157(8):656-666. doi: 10.1001/jamasurg.2022.2229.
3
Regulation of body weight: Lessons learned from bariatric surgery.体重调节:减重手术的经验教训。
Mol Metab. 2023 Feb;68:101517. doi: 10.1016/j.molmet.2022.101517. Epub 2022 May 26.
4
Impact of Resection Volume/Stapler Firings-Ratio on Perioperative Complications and Weight Loss After Laparoscopic Sleeve Gastrectomy.腹腔镜袖状胃切除术切除体积/吻合器击发次数比对围手术期并发症和减重效果的影响。
Obes Surg. 2021 Jan;31(1):207-214. doi: 10.1007/s11695-020-04870-0. Epub 2020 Jul 29.
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Revision surgery after sleeve gastrectomy: a nationwide study with 10 years of follow-up.袖状胃切除术后的翻修手术:一项具有 10 年随访的全国性研究。
Surg Obes Relat Dis. 2020 Oct;16(10):1497-1504. doi: 10.1016/j.soard.2020.05.021. Epub 2020 May 29.
6
Is the Resected Gastric Volume Effective in the Complication of Laparoscopic Sleeve Gastrectomy?胃切除体积对腹腔镜袖状胃切除术并发症的影响
Surg Laparosc Endosc Percutan Tech. 2020 Jun;30(3):263-265. doi: 10.1097/SLE.0000000000000769.
7
IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures.国际肥胖与代谢病外科联盟2016年全球调查:原发性、腔内及修复性手术
Obes Surg. 2018 Dec;28(12):3783-3794. doi: 10.1007/s11695-018-3450-2.
8
Sleeve Gastrectomy: Metabolic Surgical Procedure of Choice?袖状胃切除术:代谢外科手术的首选?
Trends Endocrinol Metab. 2018 Aug;29(8):531-534. doi: 10.1016/j.tem.2018.04.011. Epub 2018 May 24.
9
More stapler firings increase the risk of perioperative morbidity after laparoscopic sleeve gastrectomy.在腹腔镜袖状胃切除术后,更多的吻合器击发次数会增加围手术期发病风险。
Wideochir Inne Tech Maloinwazyjne. 2018 Mar;13(1):88-94. doi: 10.5114/wiitm.2017.70197. Epub 2017 Sep 26.
10
Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis.袖状胃切除术的长期(7 年以上)结果:荟萃分析。
Surg Obes Relat Dis. 2018 Jun;14(6):741-747. doi: 10.1016/j.soard.2018.02.027. Epub 2018 Mar 6.