腹腔镜袖状胃切除术治疗单纯性肥胖疗效

发布时间：2018-02-27 23:11

本文关键词： 袖状胃切除术肥胖糖尿病血脂　出处：《首都医科大学学报》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨腹腔镜袖状胃切除术(laparoscopic sleeve gastrectomy,LSG)对肥胖及肥胖合并疾病的疗效及安全性。方法回顾性分析首都医科大学附属北京天坛医院于2012年7月至2015年9月接受腹腔镜胃袖状切除手术的26例单纯性肥胖病人临床资料。记录术后3、6、12和18个月时体质量指数(body mass index,BMI)及多项生物化学指标等。结果所有病人均顺利完成LSG术,无中转开腹。手术时间50~170 min,平均(79.7±4.7)min;术中出血10~50m L,平均(24.6±1.8)m L;术后住院日为5~13 d,平均(5.9±0.3)d;术后腹腔积液、腹腔出血各1例,无二次手术病例。术后3、6、12、18个月时,多余体质量减少分别为54.9%、62.7%、80.1%和68.4%,随访3~36个月未出现不可控制的体质量下降等恶性营养不良。随访期间出现1例(3.8%)胆囊结石、2例(7.6%)缺铁性贫血、2例(7.6%)胃食管反流症状。术后肥胖相关疾病如糖尿病、高血压、脂肪肝、高脂血症等均有明显改善。结论腹腔镜袖状胃切除术治疗单纯性肥胖症减重效果确切、安全,但其与胃旁路手术等其他减重手术的效果对比尚需进一步研究。
[Abstract]:Objective to investigate the efficacy and safety of laparoscopic sleeve gastrectomy (LSGs) in the treatment of obesity and obesity complicated with diseases. Methods from July 2012 to September 2015, Beijing Temple of Heaven Hospital affiliated to Capital Medical University was treated with abdominal cavity. The clinical data of 26 patients with simple obesity undergoing endoscopic gastrectomy were recorded. Body mass index (BMI), body mass index (BMI) and biochemical indexes were recorded at 12 and 18 months after operation. Results LSG was successfully performed in all patients. There was no conversion to laparotomy. The operative time was 50 ~ 170 min (mean 79.7 卤4.7 min), the intraoperative bleeding was 100.50ml (24.6 卤1.8mL), the postoperative hospitalization time was 50.13 days (average 5.9 卤0.3d), the postoperative peritoneal effusion was 1 case, and there was no secondary operation. The reduction of excess body mass was 62.70.1% and 68.4%, respectively. During the follow-up period of 3 ~ 36 months, there was no uncontrollable body mass loss and other malignant malnutrition. During the follow-up period, 1 case had 3. 8) gallstone and 2 cases had iron deficiency anemia (2 cases) with stomach and esophagus reflux symptoms. Postoperative obesity-related diseases such as diabetes, Conclusion Laparoscopic sleeve gastrectomy is effective and safe in the treatment of simple obesity. But the comparison of its effect with other weight-loss surgery, such as gastric bypass surgery, needs further study.
【作者单位】：首都医科大学附属北京天坛医院普通外科;
【分类号】：R656.6

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