Wang Jian-Chao, Wang Liang
Department of Gastrointestinal Surgery Medical Center, Shandong Second Medical University, Weifang 261000, Shandong Province, China.
Department of Gastrointestinal Oncology Surgery, Affiliated Hospital of Qinghai University and Affiliated Cancer Hospital of Qinghai University, Xining 810000, Qinghai Province, China.
World J Gastrointest Surg. 2024 Dec 27;16(12):3658-3662. doi: 10.4240/wjgs.v16.i12.3658.
In this editorial, we reviewed the article by Li . We aimed to explore various perspectives to further mitigate the risk factors for postoperative nausea and vomiting (PONV), which could significantly reduce its incidence and related postoperative complications. PONV is highly prevalent among patients undergoing bariatric surgery, yet there are relatively few related studies. Currently, the mainstream bariatric surgery methods include laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Despite the effectiveness of surgery in helping patients lose weight, postoperative PONV may occur, potentially leading to various complications (such as aspiration and wound dehiscence). A retrospective study by Li has compared the impact of different operative positions during laparoscopic sleeve gastroplasty on the incidence of PONV, providing new insights into the clinical practice aimed at reducing PONV incidence and thereby improving patient's postoperative experience.
在这篇社论中,我们回顾了李的文章。我们旨在探讨各种观点,以进一步降低术后恶心呕吐(PONV)的风险因素,这可以显著降低其发生率及相关术后并发症。PONV在接受减肥手术的患者中非常普遍,但相关研究相对较少。目前,主流的减肥手术方法包括腹腔镜Roux-en-Y胃旁路术和腹腔镜袖状胃切除术。尽管手术在帮助患者减肥方面有效,但术后可能会发生PONV,这可能导致各种并发症(如误吸和伤口裂开)。李的一项回顾性研究比较了腹腔镜袖状胃成形术期间不同手术体位对PONV发生率的影响,为旨在降低PONV发生率从而改善患者术后体验的临床实践提供了新的见解。