腹腔镜袖套状胃切除术治疗肥胖症  

Laparoscopic sleeve gastrectomy for obesity

作　　者：王跃东[1] 昊嘉[1] 竺杨文[1] 谢志杰[1] 占小莉[1] 叶再元[1] 

机构地区：[1]浙江省人民医院普外科,杭州310014

出　　处：《中华普通外科杂志》2011年第10期826-828,共3页Chinese Journal of General Surgery

摘　　要：目的探讨腹腔镜袖套状胃切除术治疗肥胖症的有效性及安全性。方法自2006年12月至2010年4月，40例肥胖症患者接受了腹腔镜袖套状胃切除术，术前平均体质量、体质量指数、超重体质量分别为（104．2±3．3）kg、（36．9±1．0）kg／m^2和（37．8±3．0）kg。前瞻性收集和评价实验数据。结果所有腹腔镜袖套状胃切除术均顺利完成，无中转开腹手术。平均手术时间（80±18）min，无严重并发症发生。术后住院时间（5．5±1．5）d。术后1、3、6、12个月随访，体质量指数分别减少（4．3±1．7）kg／m^2、（7．0±1．9）kg／m^2、（9．3±3．1）kg／m^2和（10．1±3．8）kg／m^2，超重体质量分别减少35．0％±13．5％、57．1％±17．7％、74．2％±27．2％和81．8％±29．4％。结论腹腔镜袖套状胃切除术治疗体质量指数较小的肥胖患者是有效和安全的，但需要积累更多病例和长期随访观察研究来比较本手术与其他减肥手术的优缺点。Objective To explore efficacy and safety of laparoscopic sleeve gastrectomy for the treatment of obesity. Methods Forty patients underwent laparoscopic sleeve gastrectomy as a treatment option for weight reduction between December 2006 and February 2010. Mean preoperative body weight （BW）, body mass index （BMI） and exceed body weight （EBW） were （ 104. 2 ±3.3 ） kg, （ 36. 9 ± 1.0） kg/m2 and （37.8 ±3.0） kg, respectively. Outcome data were collected and assessed prospectively. Results Laparoscopic procedures were completed in all patients, with no conversion to open surgery. The operation time averaged （80 ± 18） min, and there were no severe postoperative complications. The median postoperative hospital stay was （5. 5 ± 1. 5） days. BMI loss was （4. 3± 1.7） kg/m2, （7. 0 ± 1.9） kg/m2, （9. 3 ± 3.1 ） kg/m2 and （ 10. 1 ±3.8） kg/m2 ,respectively, and percentage of EBW loss was 35.0% ± 13.5%, 57.1% ±17.7%, 74. 2% ±27.2%, and 81.8% ±29.4%, respectively, at 1, 3, 6, and 12 months following the procedure. Conclusion Laparoscopic sleeve gastrectomy is an effective and safe surgical option for the treatment of obesity with lower BMI. Additional long-term studies are still needed to accurately compare laparoscopie sleeve gastrectomy with other procedures of weight reduction.

关 键 词：肥胖症 病态 腹腔镜检查 胃切除术 

分 类 号：R735.2[医药卫生—肿瘤]