Fried M, Peskova M
First Surgical Department, Charles University Teaching Hospital, Prague, Czech Republic.
Hepatogastroenterology. 1997 Mar-Apr;44(14):582-7.
BACKGROUND/AIMS: Obesity appears to be an epidemic problem now. Thirty percent of men and 40% of women in the fifth decade are obese (> 20% over ideal weight). Extreme obesity in itself decreases life expectancy and is associated with the early development of cardiopulmonary disorders, hypertension, diabetes and many other disorders. The non-operative treatment of extreme obesity rarely leads to permanent weight reduction. Various operative procedures such as vertical banded gastroplasties, malabsorptive operations or gastric bandings have been suggested for the production of permanent weight loss. A relatively high incidence of morbidity following "laparotomy" procedures for obesity treatment prompted us to start laboratory studies in 1991 on laparoscopic gastric banding.
In June 1993 we performed the world's first "laparoscopic" gastric banding in a human and since then, we have operated on more than 60 patients using this method.
The 5-year mean post-operative weight loss of -37.4 kilograms, with significant blood pressure decreases at 1-year follow-up and with no significant changes noted in the levels of RBC, electrolytes and transaminase.
The "laparoscopic" approach in gastric banding enabled us to shorten hospital stay and decrease post-operative complications significantly.
背景/目的：肥胖如今似乎已成为一个流行问题。五十多岁的男性中有30%、女性中有40%肥胖（超过理想体重20%以上）。极度肥胖本身会缩短预期寿命，并与心肺疾病、高血压、糖尿病及许多其他疾病的早期发生有关。极度肥胖的非手术治疗很少能导致体重永久性减轻。为实现永久性体重减轻，人们提出了各种手术方法，如垂直带状胃成形术、吸收不良手术或胃束带术。肥胖治疗的“剖腹术”手术后发病率相对较高，促使我们在1991年开始了腹腔镜胃束带术的实验室研究。
1993年6月，我们在人类身上实施了世界首例“腹腔镜”胃束带术，自那时起，我们已用此方法为60多名患者实施了手术。
术后5年平均体重减轻37.4千克，随访1年时血压显著下降，红细胞、电解质和转氨酶水平无显著变化。
胃束带术的“腹腔镜”方法使我们能够显著缩短住院时间并减少术后并发症。
