腹腔镜袖状胃切除术治疗肥胖症的疗效分析-东南大学学报医学版

腹腔镜袖状胃切除术治疗肥胖症的疗效分析

作者：伍龙张军

单位：重庆医科大学附属第一医院胃肠外科, 重庆 400016

分类号：R589.2

出版年·卷·期（页码）：2016·35·第四期（510-513）

摘要：

目的：分析评价腹腔镜袖状胃切除术（LSG）治疗肥胖症的近期疗效。方法：回顾性分析我科2013年1月至2014年12月行LSG手术的18例肥胖症患者的临床资料，观察随访患者手术前后体重、体重指数（BMI）以及血糖异常者血糖相关指标的变化情况，计算超重体重下降百分比（EWL%）。统计分析比较术前、术后1年相关指标的变化。结果：所有患者手术均在全腹腔镜下实施，无中转开腹，术后出现胃瘘、腹腔感染1例，余无严重并发症。术后1年体重及BMI明显下降（P<0.05），13例减重效果极佳，5例效果良好。7例合并血糖异常者5例得到完全缓解，2例部分缓解。结论：LSG是治疗肥胖症安全有效的手术方式，且对肥胖伴发的代谢性疾病有显著的缓解甚至治愈效果。

Objective:To investigate the short-term effect of laparoscopic sleeve gastrectomy (LSG) for the treatment of obesity. Methods:Retrospective analysis was carried out in 18 patients who underwent LSG in our department from January 2013 to December 2014. The body weight and BMI were obtained before and after surgery; the excess weight loss (EWL%) was calculated, and the blood glucose of pathoglycemia patients were tested. Statistic analyses were performed by SPSS software (version 22.0). Results:The procedure was completed under laparoscopy without conversion to laparotomy. There were no serious complications except one patient developed a gastric fistula and abdominal infection. The mean body weight and BMI declined significantly one year after LSG (P<0.05), 13 patients achieved excellent outcomes, and the others were of better results. Five of 7 pathoglycemia patients obtained complete remission, and the other 2 got partial remission. Conclusion:LSG is a safe and effective surgical approach to the treatment of obesity and can prominently alleviate or even cure the metabolic diseases caused by obesity.

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